Organization
PATRICIA A. CARSON
Active
Other names
TOUCH OF LOVE SUPPORT SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN CARSON (OWNER)
(352) 504-8206
Entity
Organization
Contact information
Practice address
191 PATRICE HOPE ST, LEESBURG, FL 34748-7342
(352) 504-8206
(352) 314-0039
Mailing address
191 PATRICE HOPE ST, LEESBURG, FL 34748-7342
(352) 504-8206
(352) 314-0039
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
692951696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
692951696
PROVIDER MEDICAID NUMBER
FL
01
—
692951698
PROVIDER MEDICAID NUMBER
FL
Enumeration date
09/11/2008
Last updated
09/11/2008
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