Tidajay Care Services Inc in Jacksonville - Licensed Practical Nurse
Tidajay Care Services Inc - NPI 1659540763
Tidajay Care Services Inc is a Licensed Practical Nurse in Jacksonville, Florida. Tidajay Care Services Inc practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Tidajay Care Services Inc is 1659540763. The last update date is 2008-02-22.
Tidajay Care Services Inc's current location address is 1140 Sunray Ct, Jacksonville, Florida. You can contact this provider via phone number 9047141020 and fax number 9047144501. The mailing address for Tidajay Care Services Inc is 1140 Sunray Ct, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tidajay Care Services Inc |
|---|---|
| Address | 1140 Sunray Ct, Jacksonville, Florida |
| Phone Number | 9047141020 |
| Fax Number | 9047144501 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jusu Kaisamba Musu |
| Telephone Number | 9047141020 |
NPI Number Detail
| NPI Number | 1659540763 |
|---|---|
| Provider Enumeration Date | 2008-02-22 |
| Last Updated Date | 2008-02-22 |
Provider Mailing Address Detail
| Address | 1140 Sunray Ct |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322188038 |
| Phone Number | 9047141020 |
| Fax Number | 9047144501 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN5159858 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique provider identifier assigned to Tidajay Care Services Inc?
The Tidajay Care Services Inc has been issued the NPI (National Provider Identifier) 1659540763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Tidajay Care Services Inc's facilities are geographically located?
The facilities of Tidajay Care Services Inc are physically situated at the following location: 1140 Sunray Ct, Jacksonville, FL, 322188038.
What is Tidajay Care Services Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tidajay Care Services Inc's specialized field of practice is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1659540763 to Tidajay Care Services Inc?
The Tidajay Care Services Inc received its 1659540763 assignment from the Centers for Medicare & Medicaid Services on 2008-02-22.
When was the Tidajay Care Services Inc's information last updated?
The Tidajay Care Services Inc's information was last updated on 2008-02-22.
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