# T&A LIFTED LIVING LLC

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

## Provider details

- **NPI number:** 1427938422
- **Authorized official:** NATASHA KATRINA GROSS (ADMINISTRATOR)
- **Authorized official phone:** (850) 545-7684

## Contact information

- **Practice address:** 90 PAYNE ST, CRAWFORDVILLE, FL 32327-5430
- **Practice address phone:** (850) 545-7684
- **Practice address fax:** (850) 545-7684
- **Mailing address:** 90 PAYNE ST, CRAWFORDVILLE, FL 32327-5430
- **Mailing address phone:** (850) 545-7684
- **Mailing address fax:** (850) 545-7684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2025
- **Last updated:** 09/03/2025
