Sugars Supportive Services, LLC
Community Health Worker in Leesburg, FL. Organization (NPI-2).
NPI number1871979575
StatusActive
Last updated in NPPESAug 4, 2015
Details
- NPI
- 1871979575
- Entity type
- Organization (NPI-2)
- Legal business name
- Sugars Supportive Services, LLC
- Organization subpart
- No
- Enumeration date
- Aug 4, 2015
- Last updated
- Aug 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | 001917900 | FL | Yes |
Practice location
2204 Citrus BlvdSuite 10b
Leesburg, FL 34748-3019
Phone 352-435-4600 · Fax 352-435-4605
Mailing address
2204 Citrus BlvdSuite 10b
Leesburg, FL 34748-3019
Phone 352-435-4600 · Fax 352-435-4605
Authorized official
Lorraine Adele Caldwell
Owner
3526170400
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