Organization · NPI-2

Support Coordination Services Of Florida, LLC

Case Management · Ocoee, FL

NPI number1144641176
StatusActive
Last updated in NPPESDec 17, 2013

Details

NPI
1144641176
Entity type
Organization (NPI-2)
Legal business name
Support Coordination Services Of Florida, LLC
Organization subpart
No
Enumeration date
Dec 17, 2013
Last updated
Dec 17, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management689607396FLYes

Practice location

5212 Mill Stream Rd
Ocoee, FL 34761-8120

Phone 407-844-0747 · Fax 407-574-7350

Mailing address

5212 Mill Stream Rd
Ocoee, FL 34761-8120

Phone 407-844-0747 · Fax 407-574-7350

Authorized official

Evadnie Walters
Ceo
4078440747

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