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Organization

TRI-CITY ADULT DAY CARE, INC.

Active
Other names
Tri-City Nurse Registry
Organization subpart
No

Provider details

NPI number
Authorized official
DILLIA DONNA SQUIRES (ADMINISTRATOR)
(352) 609-5147
Entity
Organization

Contact information

Practice address
2046 CLASSIQUE LN, TAVARES, FL 32778-5787
(352) 609-5147
(352) 388-3145
Mailing address
2046 CLASSIQUE LN, TAVARES, FL 32778-5787
(352) 609-5147
(352) 388-3145

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163WH0200X
Home Health Registered Nurse
164W00000X
Licensed Practical Nurse
251E00000X
Home Health Agency
251F00000X
Home Infusion Agency
251J00000X
Nursing Care Agency
Primary
376K00000X
Nurse's Aide
385H00000X
Respite Care

Other

Enumeration date
10/11/2023
Last updated
06/13/2024
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