Provider Demographics
NPI:1376836072
Name:UM SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:UM SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-281-6071
Mailing Address - Street 1:6991 TRAMMEL DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-3350
Mailing Address - Country:US
Mailing Address - Phone:850-983-3020
Mailing Address - Fax:850-983-3006
Practice Address - Street 1:6991 TRAMMEL DR
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-3350
Practice Address - Country:US
Practice Address - Phone:850-983-3020
Practice Address - Fax:850-983-3006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002363600Medicaid
FL002373100Medicaid
FL002098100Medicaid