Individual
TIFFANY MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2466 SW 147TH LANE RD, OCALA, FL 34473-7578
(352) 617-7357
(352) 748-4224
Mailing address
2466 SW 147TH LANE RD, OCALA, FL 34473-7578
(352) 617-7357
(352) 748-4224
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
6906364
FL
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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