NPI Registry.org

Tambolina Adult Day Care

NPI Registration Record

Provider / OrganizationNPIDate Certified
TAMBOLINA ADULT DAY CARE10832205602020-09-19

The organization Tambolina Adult Day Care is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1083220560. Registration indicates Tambolina Adult Day Care is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Adult Day Care, ) (All Other Specialties & Provider Types, ) (Clinic/Center Adult Day Care, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:
Entity TypeOrganization
Provider OrganizationTAMBOLINA ADULT DAY CARE
Practice Office Address1627 ROGERO RD STE C
JACKSONVILLE, FL US
Practice Office Telephone9045531013
Practice Office Fax9042400309
Mailing Address1627 ROGERO RD STE C
JACKSONVILLE, FL 322114866 US
Business Telephone9045531013
Business Fax9042400309
Authorized OfficialLINDA FUSTER MOMORIE, ADMINISTRATOR
9046511310
HPT Codes
CodePractice
License No
State
261QA0600X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Adult Day Care

All Other Specialties & Provider Types

Clinic/Center Adult Day Care
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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