Debbie Clark Support Services Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

251C00000X Issued in FL

Legal business name

DEBBIE CLARK SUPPORT SERVICES INC.

Practice address

426 Tanglewood Dr
Pensacola, FL 32503-3225

Phone

(850) 432-5777

Fax

(850) 478-6578

NPI assigned

Feb 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Debbie Karen Payne

Title

Owner

Phone

(850) 432-5777

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326185703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 TANGLEWOOD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033225",
            "telephone_number": "850-432-5777",
            "fax_number": "850-478-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 TANGLEWOOD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033225",
            "telephone_number": "850-432-5777",
            "fax_number": "850-478-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE CLARK SUPPORT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-432-5777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "251C00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.