NPI 1124514716

Foundation Support Systems INC

Organisation Pediatric Skilled Nursing Facility Gainesville, FL

Practice location

Address: 901 NW 8th Ave Suite B-10, Gainesville, FL 32601
Phone: (352) 225-3396

Authorised official

Name: Jonathan Ade Tuma
Title: President
Phone: (352) 225-3396

Registered specialties (4)

Pediatric Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 3140N1450X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Nursing Care Agency

Agencies Taxonomy 251J00000X

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

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Registry record

NPI: 1124514716
Entity type: Organization
NPI issued: 6 Jul 2018
Record last updated: 6 Jul 2018

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.