Organization
ROSE OF SHARON OF CENTRAL FL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRAZIER JEROME MARSHALL (ADMINISTRATOR)
(352) 255-4060
Entity
Organization
Contact information
Practice address
1326 W NORTH BLVD STE 3, LEESBURG, FL 34748-3997
(352) 255-4060
Mailing address
PO BOX 490854, LEESBURG, FL 34749-0854
(352) 255-4060
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/12/2018
Last updated
02/16/2021
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