Healthcare Provider Details

I. General information

NPI: 1457023806
Provider Name (Legal Business Name): ALL ABOUT YOU SUPPORT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2021
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6914 E FOWLER AVE STE B
TEMPLE TERRACE FL
33617-1705
US

IV. Provider business mailing address

PO BOX 8391
TAMPA FL
33674-8391
US

V. Phone/Fax

Practice location:
  • Phone: 813-980-0309
  • Fax: 813-980-0380
Mailing address:
  • Phone: 813-980-0309
  • Fax: 813-980-0380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALYSIA LANCE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 813-980-0309