Individual
MRS. TIFFANY MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9616 WATERSHED DR E, JACKSONVILLE, FL 32220-0905
(904) 472-5355
Mailing address
9616 WATERSHED DR E, JACKSONVILLE, FL 32220-0905
(904) 472-5355
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
314000000X
Skilled Nursing Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/21/2018
Last updated
10/16/2019
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