NPI 1003352352
Familyties Support Services, LLC
Practice location
- Address
- 1120 Silas Dr SW APT 1406, Live Oak, FL 32064-2969
- Phone
- (813) 482-7962
- Fax
- (813) 415-2266
Authorised official
- Name
- Loris Tucker
- Title
- Partner/Director
- Phone
- (813) 482-7962
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1003352352
- Entity type
- Organization
- NPI issued
- 10 Jan 2017
- Record last updated
- 10 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.