Provider Demographics
NPI:1033571716
Name:HALL SUPPORTIVE SERVICES INC
Entity Type:Organization
Organization Name:HALL SUPPORTIVE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-887-5152
Mailing Address - Street 1:4675 SW 155TH PLACE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-3187
Mailing Address - Country:US
Mailing Address - Phone:813-887-5152
Mailing Address - Fax:352-307-4640
Practice Address - Street 1:4675 SW 155TH PLACE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-3187
Practice Address - Country:US
Practice Address - Phone:813-887-5152
Practice Address - Fax:352-307-4640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care