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Florida Service Group LLC

In Home Supportive Care in Orlando, FL. Organization (NPI-2).

NPI number1871259622
StatusActive
Last updated in NPPESNov 16, 2021

Details

NPI
1871259622
Entity type
Organization (NPI-2)
Legal business name
Florida Service Group LLC
Organization subpart
No
Enumeration date
Nov 16, 2021
Certification date
Nov 15, 2021
Last updated
Nov 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
251B00000X Case Management––
251C00000X Day Training, Developmentally Disabled Services––
251E00000X Home Health––
305S00000X Point of Service––
343900000X Non-emergency Medical Transport (VAN)––
385H00000X Respite Care––

Practice location

5648 Tomoka Dr
Orlando, FL 32839-2849

Phone 404-694-4298 · Fax 407-992-9464

Mailing address

5648 Tomoka Dr
Orlando, FL 32839-2849

Phone 404-694-4298

Authorized official

Amara Smith
Director
4046944298

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