Organization
TENDER LOVING CARE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGETTE ANNETTA HARRIS (LICENSED PRACTICAL NURSE)
(561) 644-4283
Entity
Organization
Contact information
Practice address
6494 N. W. GROVELAND TERRACE, PORT ST. LUCIE, FL 34986-3825
(561) 644-4283
Mailing address
6494 N. W. GROVELAND TERRACE, PORT ST. LUCIE, FL 34986-3825
(561) 644-4283
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
PN1068941
FL
251G00000X
Community Based Hospice Care Agency
PN1068941
FL
251J00000X
Nursing Care Agency
PN1068941
FL
310400000X
Assisted Living Facility
PN1068941
FL
311ZA0620X
Adult Care Home Facility
PN1068941
FL
343900000X
Non-emergency Medical Transport (VAN)
PN1068941
FL
347C00000X
Private Vehicle
Primary
PN1068941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692853696
—
FL
Enumeration date
01/24/2008
Last updated
06/19/2008
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