| Keystone Support Services Llc | |
|
10135 Gate Pkwy N Apt 1516 Jacksonville FL 32246-8267 | |
| (954) 224-8216 | |
| Not Available |
| Full Name | Keystone Support Services Llc |
|---|---|
| Speciality | Clinic/center - Developmental Disabilities |
| Location | 10135 Gate Pkwy N Apt 1516, Jacksonville, Florida |
| Authorized Official Name and Position | Regina Sherman (OWNER/ OPERATOR) |
| Authorized Official Contact | 3526581016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Support Services Llc 10135 Gate Pkwy N Apt 1516 Jacksonville FL 32246-8267 Ph: (954) 224-8216 | Keystone Support Services Llc 10135 Gate Pkwy N Apt 1516 Jacksonville FL 32246-8267 Ph: (954) 224-8216 |
| NPI Number | 1952997900 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 12/15/2020 |
| Certification Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952997900 | NPI | - | NPPES |
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