Provider Demographics
NPI:1922176056
Name:SUNSET SUPPORT SERVICES,INC
Entity Type:Organization
Organization Name:SUNSET SUPPORT SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:D
Authorized Official - Last Name:ISAAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-679-3109
Mailing Address - Street 1:18101 BURRELL RD
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-5130
Mailing Address - Country:US
Mailing Address - Phone:813-679-3109
Mailing Address - Fax:813-926-9527
Practice Address - Street 1:18101 BURRELL RD
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-5130
Practice Address - Country:US
Practice Address - Phone:813-679-3109
Practice Address - Fax:813-926-9527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLVF001251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services