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Organization
A & S QUALITY CARE
Active
Organization
A & S QUALITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY SIMMONS (OWNER)
(407) 592-3832
Entity
Organization
Contact information
Practice address
9314 LAKE FISCHER BLVD, GOTHA, FL 34734-5203
(407) 592-3832
Mailing address
9314 LAKE FISCHER BLVD, GOTHA, FL 34734-5203
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
251X00000X
Supports Brokerage Agency
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005586600
—
FL
Enumeration date
10/08/2013
Last updated
10/08/2013
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