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Organization
KITTY LOUISE TRAVEL NURSE
Active
Organization
KITTY LOUISE TRAVEL NURSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA LOUISE TATE (CNA)
(407) 272-1526
Entity
Organization
Contact information
Practice address
341 HIDDEN PINES CIR, CASSELBERRY, FL 32707-3361
(407) 272-1526
Mailing address
341 HIDDEN PINES CIR, CASSELBERRY, FL 32707-3361
(407) 272-1526
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CNA0304027
IN
251G00000X
Community Based Hospice Care Agency
CNA0304027
IN
253Z00000X
In Home Supportive Care Agency
CNA0304027
IN
Other
Enumeration date
05/17/2009
Last updated
05/17/2009
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