Organization
LAURA MCCUTCHEON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MCCUTCHEON (MED WAIVER PROVIDER)
(352) 895-4117
Entity
Organization
Contact information
Practice address
4831 NE 7TH ST, OCALA, FL 34470-1147
(352) 895-4117
Mailing address
4831 NE 7TH ST, OCALA, FL 34470-1147
(352) 895-4117
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
688486598
FL
253Z00000X
In Home Supportive Care Agency
Primary
688486598
FL
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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