Whalio Doctors

NPI 1184923054

Innovative Support Services, LLC

Organisation Case Management Agency Lakeland, FL

Practice location

Address
310 Modest St, Lakeland, FL 33805-3123
Phone
(863) 904-8820
Fax
(866) 271-5349
Mailing address
PO Box 2253, Eaton Park, FL 33840-2253

Authorised official

Name
Stephanie Kirnes
Title
Executive Director
Phone
(863) 904-8820

Registered specialties (5)

Case Management Agency Primary
Agencies Taxonomy 251B00000X
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X
Public Health or Welfare Agency
Agencies Taxonomy 251K00000X
Supports Brokerage Agency
Agencies Taxonomy 251X00000X

Registry record

NPI
1184923054
Entity type
Organization
NPI issued
18 Mar 2011
Record last updated
18 Mar 2011

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.