Tawana Lizzmore in Jacksonville - Day Training/habilitation Specialist
Tawana Lizzmore - NPI 1720090038
Tawana Lizzmore is a Day Training/habilitation Specialist in Jacksonville, Florida. Tawana Lizzmore practices all healthcare services and medical treatments related to Day Training/habilitation Specialist. The NPI Number for Tawana Lizzmore is 1720090038. The last update date is 2007-07-08.
Tawana Lizzmore's current location address is 11405 Quailhollow Dr, Jacksonville, Florida. You can contact this provider via phone number 9042650340 and fax number 9042651906. The mailing address for Tawana Lizzmore is 11405 Quailhollow Dr, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tawana Lizzmore |
|---|---|
| Address | 11405 Quailhollow Dr, Jacksonville, Florida |
| Phone Number | 9042650340 |
| Fax Number | 9042651906 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720090038 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11405 Quailhollow Dr |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322183621 |
| Phone Number | 9042650340 |
| Fax Number | 9042651906 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training/habilitation Specialist |
|---|---|
| Taxonomy | 373H00000X |
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Definition: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
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What is the unique identifier code issued to Tawana Lizzmore by the Centers for Medicare & Medicaid Services (CMS)?
The Tawana Lizzmore has been assigned the NPI (National Provider Identifier) 1720090038. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Tawana Lizzmore?
The Tawana Lizzmore is situated at 11405 Quailhollow Dr, in the city of Jacksonville, state of FL, with the zip code 322183621.
What is Tawana Lizzmore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tawana Lizzmore's area of specialization is Day Training/habilitation Specialist, and the corresponding taxonomy code that categorizes this field of practice is 373H00000X.
On what date did Tawana Lizzmore receive its 1720090038 assignment from the Centers for Medicare & Medicaid Services?
The Tawana Lizzmore was assigned its 1720090038 on 2006-08-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tawana Lizzmore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tawana Lizzmore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL