Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrated Care Support Svcs Nc

Organization Case Management Agency · NPI 1306781158

Integrated Care Support Svcs Nc is a Case Management Agency in Fernandina Beach, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

96031 Broadmoor Rd
Fernandina Beach, FL 32034
Phone: (704) 929-8119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1306781158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristy Pavelock — Qualified Professional/Case Manager · (704) 929-8119
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 15, 2026
Mailing address96031 Broadmoor Rd, Fernandina Beach, FL 32034

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