Ideal Support Services, LLC
NPI #1518507532 in Port St Lucie, Florida
Provider Information
- NPI Number
- 1518507532
- Entity Type
- Organization
- Organization Name
- Ideal Support Services, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 7, 2020
- Last Updated
- Jan 7, 2020
Practice Location
- Address
- 1031 SW JERICHO AVE
- City
- Port St Lucie
- State
- Florida
- ZIP Code
- 34953-7216
- Phone
- (772) 519-4053
Authorized Official
- Name
- LYSSEEVETH SERRANO
- Title
- OWNER/PROVIDER
- Phone
- (772) 519-4053
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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