Organization
MS CONSULTING & SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA N SMITH (OWNER)
(352) 431-0929
Entity
Organization
Contact information
Practice address
1290 N RIDGE BLVD APT 522, CLERMONT, FL 34711-2871
(352) 432-9910
Mailing address
1290 N RIDGE BLVD APT 522, CLERMONT, FL 34711-2871
(352) 432-9910
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102132700
—
FL
05
—
102132701
—
FL
05
—
7426917
—
FL
Enumeration date
02/21/2019
Last updated
02/25/2021
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