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Organization

H2H SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARRIETTE GARDNER MS (OWNER)
(901) 338-5421
Entity
Organization

Contact information

Practice address
330 W 70TH ST, JACKSONVILLE, FL 32208-3810
(901) 338-5421
(904) 379-0801
Mailing address
31 W ADAMS ST, JACKSONVILLE, FL 32202-3605
(901) 338-5421
(904) 379-0801

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1366645673
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477966471
FL
Enumeration date
12/15/2015
Last updated
12/15/2015
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