Organization
TIER 1 HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNEN LASANE (OWNER)
(863) 604-0157
Entity
Organization
Contact information
Practice address
5759 WATERSIDE DR APT 203, LAKELAND, FL 33805-9649
(863) 604-0157
Mailing address
5759 WATERSIDE DR APT 203, LAKELAND, FL 33805-9649
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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