Provider Demographics
NPI:1639588213
Name:DEAF SERVICES OF LAKE COUNTY, INC.
Entity Type:Organization
Organization Name:DEAF SERVICES OF LAKE COUNTY, INC.
Other - Org Name:DEAF AND HEARING SERVICES OF LAKE & SUMTER COUNTIES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:E
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-323-0757
Mailing Address - Street 1:220 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-5706
Mailing Address - Country:US
Mailing Address - Phone:352-323-0757
Mailing Address - Fax:352-323-0799
Practice Address - Street 1:220 S 9TH ST
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-5706
Practice Address - Country:US
Practice Address - Phone:352-323-0757
Practice Address - Fax:352-323-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty