Organization
TINDALL LOVING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY ELAINE MCMILLAN-TINDALL (OWNER)
(772) 672-1890
Entity
Organization
Contact information
Practice address
1915 WYOMING AVE, FORT PIERCE, FL 34982-5636
(772) 672-1890
(772) 252-4477
Mailing address
1915 WYOMING AVE, FORT PIERCE, FL 34982-5636
(772) 672-1890
(772) 252-4477
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
08/11/2020
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