Organization
QUEEN SHEILA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLSON P HAMILTON (OWNER)
(386) 882-6747
Entity
Organization
Contact information
Practice address
28 ATTUCKS CIR, FROSTPROOF, FL 33843-9621
(386) 882-6747
Mailing address
28 ATTUCKS CIR, FROSTPROOF, FL 33843-9621
(386) 882-6747
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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