Supportive Space Home Care
Supportive Space Home Care is a Homemaker in Davenport, Florida. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
352 Tanglewood DrDavenport, FL 33896-3106
Phone: (317) 473-0037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1184592404 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Monique Cannon — Admin · (317) 473-0037 |
| NPI enumerated | October 28, 2025 |
| Last updated in NPPES | November 18, 2025 |
| Certification date | November 18, 2025 |
| Mailing address | 352 Tanglewood Dr, Davenport, FL 33896-3106 |
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