Organization
FIRST SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSHAWN CLERK (CEO)
(863) 241-8634
Entity
Organization
Contact information
Practice address
160 W EVERGREEN AVE STE 290, LONGWOOD, FL 32750-5206
(863) 241-8634
Mailing address
7754 CLEMENTINE WAY, ORLANDO, FL 32819-4612
(863) 241-8634
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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