Organization
TRI-CITY ADULT DAY CARE, INC.
Active
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
Update your record
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