Advance Support LLC

NPI #1598442212 in Forney, Texas

Provider Information

NPI Number: 1598442212
Entity Type: Organization
Organization Name: Advance Support LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 4, 2023
Last Updated: Jul 5, 2023

Practice Location

Address: 972 GOLD FINCH LN
City: Forney
State: Texas
ZIP Code: 75126-2340
Phone: (225) 938-6657

Authorized Official

Name: MOTIA DIOKE ELVIS
Title: CEO
Phone: (225) 938-6657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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