Organization
ASG SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANG YOOL SUH (OWNER)
(813) 453-6002
Entity
Organization
Contact information
Practice address
16501 NIKKI LN, ODESSA, FL 33556-6007
(813) 416-2190
(813) 475-4420
Mailing address
16501 NIKKI LN, ODESSA, FL 33556-6007
(813) 416-2190
(813) 475-4420
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010254400
—
FL
Enumeration date
10/20/2016
Last updated
10/20/2016
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