# ROSE OF SHARON OF CENTRAL FL INC

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

## Provider details

- **NPI number:** 1972096196
- **Authorized official:** MR. FRAZIER JEROME MARSHALL (ADMINISTRATOR)
- **Authorized official phone:** (352) 255-4060

## Contact information

- **Practice address:** 1326 W NORTH BLVD STE 3, LEESBURG, FL 34748-3997
- **Practice address phone:** (352) 255-4060
- **Mailing address:** PO BOX 490854, LEESBURG, FL 34749-0854
- **Mailing address phone:** (352) 255-4060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 06/12/2018
- **Last updated:** 02/16/2021