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Organization
TIFFANY'S HOMEMAKER AND COMPANION
Active
Organization
TIFFANY'S HOMEMAKER AND COMPANION
Active
Other names
Tiffany's Homemaker And Companion
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MCKENNON (OWNER)
(904) 450-1430
Entity
Organization
Contact information
Practice address
11039 COLONIAL TAVERN LN, JACKSONVILLE, FL 32221-2123
(904) 450-1430
Mailing address
11039 COLONIAL TAVERN LN, JACKSONVILLE, FL 32221-2123
(904) 450-1430
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
10/22/2019
Last updated
03/28/2022
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