| Supportive Care Services, Llc | |
|
1964 Brigatine Cv Oviedo FL 32765-2704 | |
| (407) 953-8899 | |
| Not Available |
| Full Name | Supportive Care Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1964 Brigatine Cv, Oviedo, Florida |
| Authorized Official Name and Position | Amy De Jesus (DIRECTOR) |
| Authorized Official Contact | 4079538899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Services, Llc 1964 Brigatine Cv Oviedo FL 32765-2704 Ph: (407) 953-8899 | Supportive Care Services, Llc 1964 Brigatine Cv Oviedo FL 32765-2704 Ph: (407) 953-8899 |
| NPI Number | 1629691340 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629691340 | NPI | - | NPPES |
| 000000 | Other | PRIVATE INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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