MEDICARE: MS NATS SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1528718301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MS NATS SERVICES LLC

Provider Business Mailing Address
First Line	:	5515 CLARCONA POINTE WAY APT 705
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-3274
Country	:	US
Telephone Number	:	407-716-7909
Fax Number	:	407-523-1612

Provider Business Practice Location Address
First Line	:	5515 CLARCONA POINTE WAY APT 705
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-3274
Country	:	US
Telephone Number	:	407-716-7909
Fax Number	:	407-523-1612

Authorized Official
Title or Position	:	OWNER
Name	:	NATALIE WASHINGTON
Credential	:
Telephone Number	:	407-716-7909

Provider Enumeration Date	:	03/25/2022
Last Update Date	:	03/25/2022

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Directions to “MS NATS SERVICES LLC ” Practice Location

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