NPI 1023279478
St John Support Services, INC
Practice location
- Address
- 435 Clark Rd STE 408-3, Jacksonville, FL 32218-8505
- Phone
- (904) 768-6116
- Fax
- (904) 713-0307
Authorised official
- Name
- Theresa a Ishman-Holt
- Title
- Owner
- Phone
- (904) 768-6116
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1023279478
- Entity type
- Organization
- NPI issued
- 18 Jun 2008
- Record last updated
- 18 Jun 2008
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.