MEDICARE: FRESH CLEAN SOLUTIONS 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	:	1013851203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRESH CLEAN SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4040 W JEFFERSON ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32805-1926
Country	:	US
Telephone Number	:	321-236-3450
Fax Number	:

Provider Business Practice Location Address
First Line	:	4040 W JEFFERSON ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32805-1926
Country	:	US
Telephone Number	:	321-236-3450
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	MELISSA MCCARTNEY WILLIAMS
Credential	:
Telephone Number	:	407-860-6774

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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