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KEYSTONE SUPPORT SERVICES LLC NPI 1952997900


NPI Information

NPI: 1952997900
Provider Name: KEYSTONE SUPPORT SERVICES LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
10135 GATE PKWY N APT 1516
JACKSONVILLE, FL
ZIP 32246
Phone: (954) 224-8216
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KEYSTONE SUPPORT SERVICES LLC is a developmental disabilities clinic center in Jacksonville, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). KEYSTONE SUPPORT SERVICES LLC NPI is 1952997900. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10135 GATE PKWY N APT 1516
JACKSONVILLE, FL
ZIP 32246-267
Phone: (954) 224-8216

The provider's authorized official is Regina Sherman .
The authorized official title is Owner/ Operator and has the following contact phone number (352) 658-1016.

The enumeration date for this NPI number is 12/14/2020 and was last updated on 12/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerNo
2261QD1600XClinic/CenterDevelopmental DisabilitiesYes
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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