Healthcare Provider Details

I. General information

NPI: 1639073976
Provider Name (Legal Business Name): IT'S LOVE SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12500 LEM TURNER RD
JACKSONVILLE FL
32218-2312
US

IV. Provider business mailing address

12500 LEM TURNER RD
JACKSONVILLE FL
32218-2312
US

V. Phone/Fax

Practice location:
  • Phone: 904-705-1938
  • Fax:
Mailing address:
  • Phone: 904-705-1938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: LEON HILL SR.
Title or Position: MANAGER
Credential:
Phone: 904-705-1938