Organization
A & S QUALITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY SIMMONS (PRESIDENT)
(407) 592-3832
Entity
Organization
Contact information
Practice address
6965 PIAZZA GRANDE AVE # 210-5, ORLANDO, FL 32835-8779
(407) 592-3832
(407) 294-3872
Mailing address
9314 LAKE FISCHER BLV, GOTHA, FL 34734
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692707696
—
FL
05
—
692707698
—
FL
Enumeration date
02/17/2012
Last updated
10/14/2013
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