Susan Support Services
NPI #1700540481 in Fort Myers, Florida
Provider Information
- NPI Number
- 1700540481
- Entity Type
- Organization
- Organization Name
- Susan Support Services
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Oct 28, 2021
- Last Updated
- Oct 28, 2021
Practice Location
- Address
- 961 COCONUT DR
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33903-4201
- Phone
- (239) 362-5802
Authorized Official
- Name
- SUSAN RACHEL GOINS
- Title
- WAIVER SUPPORT COORDINATOR
- Phone
- (239) 362-5802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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