Organization
CHURCHILL SERVICES LLC
Active
Parent organization
CHURCHILL SERVICES LLC
Other names
TenderCare Services LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHURCHILL SERVICES LLC
Authorized official
ANNABEL C NICOL (DIRECTOR)
(772) 220-3090
Entity
Organization
Contact information
Practice address
210 SW OCEAN BLVD, STUART, FL 34994-2944
(772) 220-3090
Mailing address
210 SW OCEAN BLVD, STUART, FL 34994-2944
(772) 220-3090
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30122418
AHCA
FL
Enumeration date
02/04/2020
Last updated
02/04/2020
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