Organization
TENDER LOVING CARE SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI RICHARDSON (DIRECTOR)
(850) 223-1936
Entity
Organization
Contact information
Practice address
115 W GREEN ST, SUITE 204, PERRY, FL 32347-3226
(850) 223-1936
Mailing address
115 W GREEN ST, SUITE 204, PERRY, FL 32347-3226
(850) 223-1936
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
14815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688271496
—
FL
05
—
688271498
—
FL
Enumeration date
05/12/2011
Last updated
05/12/2011
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