| NPI | 1205479342 |
|---|---|
| Former Legal Business Name | TIFFANY'S HOMEMAKER AND COMPANION |
| Entity Type | Organization |
| Authorized Contact | TIFFANY MCKENNON Owner 904-450-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2022-03-28 |