Individual
MELBA ELISHA TUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 US HIGHWAY 80 W, TUSKEGEE, AL 36083
(334) 847-0003
Mailing address
22 SAVANNAH CIR, HAWKINSVILLE, GA 31036-7603
(404) 934-7802
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
003401
AL
385H00000X
Respite Care
Primary
003401
AL
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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