Sugars Supportive Services, Llc

LBN: Sugars Supportive Services, Llc
Sugars Supportive Services, Llc is an health care organization with primary practice located at 2204 Citrus Blvd Suite 10B, Leesburg FL 34748-3019. The organization recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as the primary health care specialty. Sugars Supportive Services, Llc can be contacted via phone (352) 435-4600, or through Caldwell, Lorraine Adele via phone (352) 617-0400.

Contact Information

Primary practice address
2204 Citrus Blvd Suite 10B Leesburg FL 34748-3019
Phone: (352) 435-4600
Fax: (352) 435-4605
Website:
Map and Directions
Authorized official contact:
Name: Caldwell, Lorraine Adele
Phone: (352) 617-0400

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 001917900 Florida

Profile Details

NPI number 1871979575
LBN Legal business name Sugars Supportive Services, Llc
DBA Doing business as
Authorized official Caldwell, Lorraine Adele
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2015
Last updated Aug 4th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871979575 NPPES
Florida MEDICAID 690259696
Florida MEDICAID 001917900

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