Provider Demographics
NPI:1265737886
Name:A & R SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:A & R SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:R
Authorized Official - Last Name:JASMINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-662-5841
Mailing Address - Street 1:3309 POST ST APT 2
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205-6079
Mailing Address - Country:US
Mailing Address - Phone:904-662-5841
Mailing Address - Fax:
Practice Address - Street 1:3309 POST ST APT 2
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-6079
Practice Address - Country:US
Practice Address - Phone:904-662-5841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL11000003699251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services