Organization
TANYA SAMUELS
Active
Other names
DETULLC, Cares of Heart
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA DELANIE SAMUELS (OWNER)
(813) 409-0078
Entity
Organization
Contact information
Practice address
502 CAMINO REAL COURT ATP A, BRANDON, FL 33510
(813) 409-0078
Mailing address
502 CAMINO REAL COURT ATP A, BRANDON, FL 33510
(813) 409-0078
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
02/16/2018
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