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Organization
TYESIA DENNIS
Active
Organization
TYESIA DENNIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYESIA SHAKIMA DENNIS (OWNER)
(904) 343-6349
Entity
Organization
Contact information
Practice address
6155 LONGCHAMP DR APT D, JACKSONVILLE, FL 32244-5141
(904) 343-6349
Mailing address
6155 LONGCHAMP DR APT D, JACKSONVILLE, FL 32244-5141
(904) 343-6349
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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