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

Professional Nursing and Support Services LLC

Organization Nursing Care Agency · NPI 1134409519

Professional Nursing and Support Services LLC is a Nursing Care Agency in Lake Park, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7626 Enoch Lake Cir
Lake Park, GA 31636-3906
Phone: (229) 559-4607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X · Licence 092-R-0897 (GA)
Nursing Care Agency Taxonomy 251J00000X · Licence RN210699 (GA)

Record details

NPI number1134409519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lashanda Williams — Administrator · (229) 559-4607
Other names None
NPI enumeratedAugust 17, 2011
Last updated in NPPESAugust 17, 2011
Mailing address7626 Enoch Lake Cir, Lake Park, GA 31636-3906