Provider Demographics
NPI:1457023806
Name:ALL ABOUT YOU SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:ALL ABOUT YOU SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALYSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-980-0309
Mailing Address - Street 1:PO BOX 8391
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33674-8391
Mailing Address - Country:US
Mailing Address - Phone:813-980-0309
Mailing Address - Fax:813-980-0380
Practice Address - Street 1:6914 E FOWLER AVE STE B
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-1705
Practice Address - Country:US
Practice Address - Phone:813-980-0309
Practice Address - Fax:813-980-0380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child