Organization
GIFTED HAND COMPANIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY GREEN (OWNER)
(407) 712-5457
Entity
Organization
Contact information
Practice address
2120 AITKIN LOOP # 0, LEESBURG, FL 34748-2962
(352) 801-5682
Mailing address
2120 AITKIN LOOP # 0, LEESBURG, FL 34748-2962
(352) 801-5682
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237624
HOMEMAKER AND COMPANIONSHIP LICENSE
FL
Enumeration date
07/30/2021
Last updated
07/30/2021
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