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Organization
INFINITE SUPPORT SERVICES LLC
Active
Organization
INFINITE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEPORSHIA BLACKMON (ADMINISTRATOR)
(352) 346-0831
Entity
Organization
Contact information
Practice address
3116 N WASHINGTON ST, ZELLWOOD, FL 32798-9661
(352) 346-0831
Mailing address
129 GROVE RIDGE CIRCLE, 104, LEESBURG, FL 34748
(352) 346-0831
(407) 814-2003
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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