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Patricia A. Carson
Developmentally Disabled Services Day Training Agency in Leesburg, Florida
NPI 1750530994

Patricia A. Carson is a Developmentally Disabled Services Day Training Agency based in Leesburg, FL. Patricia A. Carson practices in Leesburg, FL. The NPI Number for Patricia A. Carson is 1750530994 and holds a License No. 692951696 (Florida).

The current practice location address for Patricia A. Carson is 191 Patrice Hope St, Leesburg, FL and can be reached out via phone at 352-504-8206 and via fax at 352-314-0039.

Location: 191 Patrice Hope St, Leesburg, FL, 34748-7342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750530994
Provider Name
Patricia A. Carson
Credential
Provider Entity Type
Organization
Address
191 Patrice Hope St, Leesburg, FL, 34748-7342
Phone Number
352-504-8206
Fax Number
352-314-0039
Provider Enumeration Date
09/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
692951698 01 FL PROVIDER MEDICAID NUMBER
692951696 01 FL PROVIDER MEDICAID NUMBER
institution
Provider Business Practice Location Address Details
Address
191 Patrice Hope St
City
Leesburg
State
Florida
Zip
34748-7342
Phone Number
352-504-8206
Fax Number
352-314-0039
person
Provider Business Mailing Address Details
Address
191 Patrice Hope St
City
Leesburg
State
Florida
Zip
34748-7342
Phone Number
352-504-8206
Fax Number
352-314-0039
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
692951696 (Florida)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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