Organization
SHELIA L. SIMMONS
Active
Other names
Simmons Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA L SIMMONS (OWNER)
(850) 212-5612
Entity
Organization
Contact information
Practice address
67 AZALEA TRL, HAVANA, FL 32333-5135
(850) 212-5612
Mailing address
67 AZALEA TRL, HAVANA, FL 32333-5135
(850) 212-5612
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234091
—
FL
Enumeration date
05/18/2020
Last updated
02/28/2022
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