# QUEEN SHEILA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134751555
- **Authorized official:** CARLSON P HAMILTON (OWNER)
- **Authorized official phone:** (386) 882-6747

## Contact information

- **Practice address:** 28 ATTUCKS CIR, FROSTPROOF, FL 33843-9621
- **Practice address phone:** (386) 882-6747
- **Mailing address:** 28 ATTUCKS CIR, FROSTPROOF, FL 33843-9621
- **Mailing address phone:** (386) 882-6747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2020
- **Last updated:** 02/05/2020