Organization
INFINITE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEPORSHIA ARVETTA BLACKMON (ADMINISTRATOR)
(407) 986-7557
Entity
Organization
Contact information
Practice address
1345 N GRANDVIEW ST, MOUNT DORA, FL 32757-3811
(407) 986-7557
(352) 504-4354
Mailing address
17 E MAGNOLIA AVE STE 3-B, EUSTIS, FL 32726-3472
(407) 986-7557
(352) 769-4074
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
FL
372500000X
Chore Provider
23940
FL
372600000X
Adult Companion
23940
FL
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
23940
FL
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023916300
—
FL
05
—
024187700
—
FL
05
—
1477058832
—
FL
Enumeration date
10/31/2017
Last updated
02/02/2026
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