Organization
FAVORED ABILITIES SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL GOINGS LPN (EXECUTIVE DIRECTOR)
(352) 530-6357
Entity
Organization
Contact information
Practice address
225 CRESTRUN LOOP, LEESBURG, FL 34748-2597
(352) 530-6357
Mailing address
PO BOX 492001, LEESBURG, FL 34749-2001
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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