Organization
TLC OF SOUTH FL HOME MAKER & COMPANION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL GJELOSHI (OWNER)
(786) 502-4620
Entity
Organization
Contact information
Practice address
5068 NW 74TH AVE, MIAMI, FL 33166-5548
(786) 502-4620
(786) 502-4628
Mailing address
5068 NW 74TH AVE, MIAMI, FL 33166-5548
(786) 502-4620
(786) 502-4628
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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