MEDICARE: SPECTACULAR TOUCH, 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	:	1124726914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECTACULAR TOUCH, LLC

Provider Business Mailing Address
First Line	:	1128 E MAGNOLIA ST
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-6126
Country	:	US
Telephone Number	:	352-321-6447
Fax Number	:

Provider Business Practice Location Address
First Line	:	1128 E MAGNOLIA ST
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-6126
Country	:	US
Telephone Number	:	352-321-6447
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAMAL HODGE
Credential	:
Telephone Number	:	352-321-6447

Provider Enumeration Date	:	02/21/2023
Last Update Date	:	01/12/2026

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