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Organization
TAMBOLINA SERVICES, INC
Active
Organization
TAMBOLINA SERVICES, INC
Active
Other names
TAMBOLINA EDUCATIONAL SERVICES & COUNSELING CENTER, TAMBOLINA SERVICES, INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMBA MANYA MOMORIE (DIRECTOR)
(904) 629-9922
Entity
Organization
Contact information
Practice address
1627 ROGERO RD STE A&B, JACKSONVILLE, FL 32211-4866
(904) 629-9922
(904) 240-0309
Mailing address
1627 ROGERO RD STE A&B, JACKSONVILLE, FL 32211-4866
(904) 629-9922
(904) 240-0309
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691759396
—
FL
Enumeration date
01/21/2014
Last updated
10/25/2023
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