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Organization
TENDER LOVING HOSPITALITY
Active
Organization
TENDER LOVING HOSPITALITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DRUCELLA DIXON DEVAUGHN (OWNER/ADMINISTRATOR)
(354) 563-1218
Entity
Organization
Contact information
Practice address
125 NE 9TH AVE, CRYSTAL RIVER, FL 34429-4425
(352) 563-1218
(352) 563-0511
Mailing address
125 NE 9TH AVE, CRYSTAL RIVER, FL 34429-4425
(352) 563-1218
(352) 563-0511
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL8652
FL
347C00000X
Private Vehicle
AL8652
FL
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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