MEDICARE: B & D SUPPORT SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841243482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B & D SUPPORT SERVICES INC.

Provider Business Mailing Address
First Line	:	1545 CHARON RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-9201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1545 CHARON RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-9201
Country	:	US
Telephone Number	:	904-387-2741
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BETTY DAIGGER
Credential	:
Telephone Number	:	904-387-2741

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	06/16/2008

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Directions to “B & D SUPPORT SERVICES INC. ” Practice Location

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