Organization · Type 2 NPI

Ideal Support Services, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Port St. Lucie, FL

NPI number 1518507532 Active

Practice location

1031 SW Jericho Ave
Port St. Lucie, FL 34953-7216

Call (772) 519-4053 Map

Fax (772) 237-2590

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1518507532

Ideal Support Services, LLC's National Provider Identifier is 1518507532, issued on Jan 7, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jan 7, 2020.