| Organization Name: | POWELL SUPPORTIVE SERVICES, INC |
| NPI Number: | 1104121276 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATASHA POWELL (OWNER) |
| Mailing Address: | 23452 Abercorn Ln Land O Lakes |
| State: | FL US |
| Postal Code: | 346398813 |
| Phone Number: | 8137673808 |
| Fax Number: | 8662499709 |
| NPI Enumeration Date: | 01/20/2011 |
| NPI Last Update Date: | 01/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 231199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |