Healthcare Provider Details

I. General information

NPI: 1720916232
Provider Name (Legal Business Name): COMPASSIONWAY SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4347 MANDOLIN BLVD
WINTER HAVEN FL
33884-3527
US

IV. Provider business mailing address

23781 US HIGHWAY 27
LAKE WALES FL
33859-7802
US

V. Phone/Fax

Practice location:
  • Phone: 863-360-0119
  • Fax:
Mailing address:
  • Phone: 863-360-0119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: NADIA MARION SEYMOUR
Title or Position: OWNER
Credential:
Phone: 863-256-4075