Innovative Support Services, Llc

NPI 1184923054 - Counselor - 101Y00000X

NPI Details
NPI 1184923054
Enumeration Date 03/18/2011
Last Updated 03/18/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name STEPHANIE STEPHANIE
Position EXECUTIVE DIRECTOR
Phone (863) 904-8820
Fax (866) 271-5349
Practice Location
310 MODEST ST
LAKELAND FL, 33805-3123, US
Phone (863) 904-8820
Fax (866) 271-5349
Business Location
PO BOX 2253
EATON PARK FL, 33840-2253, US
Phone (863) 904-8820
Fax (866) 271-5349
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Innovative Support Services, Llc NPI is 1184923054, taxonomy code is 101Y00000X Innovative Support Services, Llc physically located at 310 Modest St, Lakeland FL, 33805-3123. NPI Number 1033115704 has the healthcare provider type.

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1184923054 NPI number is provided on an as is basis without warranty of any kind. 1184923054 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Support Services, Llc are for informational purposes only.