Provider Demographics
NPI:1083249262
Name:NEAT HEALTH LLC
Entity Type:Organization
Organization Name:NEAT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:727-656-7138
Mailing Address - Street 1:2507 COLIN PL
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-3080
Mailing Address - Country:US
Mailing Address - Phone:727-656-7138
Mailing Address - Fax:
Practice Address - Street 1:1332 PRESCOTT ST S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-2441
Practice Address - Country:US
Practice Address - Phone:727-656-7138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-07
Last Update Date:2020-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health