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Organization

LOTTIE'S LOVING CARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TEMPLE TYSINGER DOUGLAS (OWNER)
(561) 207-1830
Entity
Organization

Contact information

Practice address
4026 WAVERLY DR, WEST PALM BEACH, FL 33407-3550
(561) 207-1830
Mailing address
4026 WAVERLY DR, WEST PALM BEACH, FL 33407-3550
(561) 207-1830

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
02/02/2018
Last updated
02/02/2018
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