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Organization
ROSE OF SHARON OF CENTRAL FL INC
Active
Organization
ROSE OF SHARON OF CENTRAL FL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRAZIER JEROME MARSHALL (ADMINISTRATOR)
(352) 255-4060
Entity
Organization
Contact information
Practice address
1326 W NORTH BLVD STE 3, LEESBURG, FL 34748-3997
(352) 255-4060
Mailing address
PO BOX 490854, LEESBURG, FL 34749-0854
(352) 255-4060
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/12/2018
Last updated
02/16/2021
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