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Individual

TAWANA BANKS BEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
324 ASHBURTON WAY, KISSIMMEE, FL 34758-4222
(407) 807-4221
Mailing address
675 ROYALTY CT, KISSIMMEE, FL 34758-3217
(407) 807-4221

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
FL
374U00000X
Home Health Aide
FL
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84-5174639
FEIN
FL
01
87-3844060
FEIN
FL
Enumeration date
03/25/2020
Last updated
11/28/2024
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