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Contact Information

GLY COMMUNITY SUPPORT SERVICE LLC
1646 PORTER LAKES DR
JACKSONVILLE, FL32218-8321
 Phone: 904-758-6333
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for GLY COMMUNITY SUPPORT SERVICE LLC

NPI # 1851181663
LBN Legal business name GLY COMMUNITY SUPPORT SERVICE LLC
Authorized official LAKESHA HOLMES - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2025
Last updated 05/07/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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