Individual
MISS TIKISHA MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2783 NW 26TH ST, FORT LAUDERDALE, FL 33311-2009
(352) 665-3014
Mailing address
2783 NW 26TH AVE, FORT LAUDERALE, FL 33311
(352) 665-3014
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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