Individual provider · Type 1 NPI
Jimmie Dean Canole
Supports Brokerage Agency · Melbourne Beach, FL
Practice location
2979 S Hwy A1A, Unit 224
Melbourne Beach, FL 32951-2881
Fax (321) 723-7720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Supports Brokerage Agency Primary | 251X00000X | A039719 (FL) |
Supports Brokerage Agency: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and …
About NPI 1659741627
Jimmie Dean Canole's National Provider Identifier is 1659741627, issued on Oct 2, 2015. The primary taxonomy on file is Supports Brokerage Agency (251X00000X), and the practice location is in Melbourne Beach, FL. The record was last updated on Oct 2, 2015.