# TIFFANY'S HOMECARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164966537
- **Authorized official:** TIFFANY DENISE WATSON (MANAGER)
- **Authorized official phone:** (386) 292-1994

## Contact information

- **Practice address:** 733 SW COUNTY ROAD 242A, LAKE CITY, FL 32025-2119
- **Practice address phone:** (386) 292-1994
- **Mailing address:** 733 SW COUNTY ROAD 242A, LAKE CITY, FL 32025-2119
- **Mailing address phone:** (386) 292-1994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2016
- **Last updated:** 12/05/2016