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Organization
SEMINOLE SUPPORT SERVICES
Active
Organization
SEMINOLE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON ROBIN STALLWORTH (OWNER)
(407) 328-9976
Entity
Organization
Contact information
Practice address
504 S SANFORD AVE, SANFORD, FL 32771-1973
(407) 328-9976
Mailing address
504 S SANFORD AVE, SANFORD, FL 32771-1973
(407) 328-9976
(407) 328-0195
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
229055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003951900
—
FL
Enumeration date
04/25/2013
Last updated
04/25/2013
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