Organization
PATRICIA A. CARSON
Active
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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