# TIER 1 HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1306416839
- **Authorized official:** SHANNEN LASANE (OWNER)
- **Authorized official phone:** (863) 604-0157

## Contact information

- **Practice address:** 5759 WATERSIDE DR APT 203, LAKELAND, FL 33805-9649
- **Practice address phone:** (863) 604-0157
- **Mailing address:** 5759 WATERSIDE DR APT 203, LAKELAND, FL 33805-9649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2021
- **Last updated:** 06/28/2021