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Organization

T&A LIFTED LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATASHA KATRINA GROSS (ADMINISTRATOR)
(850) 545-7684
Entity
Organization

Contact information

Practice address
90 PAYNE ST, CRAWFORDVILLE, FL 32327-5430
(850) 545-7684
(850) 545-7684
Mailing address
90 PAYNE ST, CRAWFORDVILLE, FL 32327-5430
(850) 545-7684
(850) 545-7684

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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