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Organization

COMMON SPRINGS SUPPORT SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERMINA WILLIAMS (OWNER)
(352) 583-3634
Entity
Organization

Contact information

Practice address
6188 SHARON CT, WEBSTER, FL 33597-9700
(352) 583-3634
Mailing address
PO BOX 994, LACOOCHEE, FL 33537-0994
(352) 583-3634

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
232848
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005443200
FL
05
006787600
FL
Enumeration date
10/02/2013
Last updated
10/02/2013
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