Provider Demographics
NPI:1255847794
Name:THORNBERG ASSOCIATES INC
Entity Type:Organization
Organization Name:THORNBERG ASSOCIATES INC
Other - Org Name:VISITING ANGELS OF TALLAHASSEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:DELANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-320-6062
Mailing Address - Street 1:2344 CENTERVILLE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4389
Mailing Address - Country:US
Mailing Address - Phone:850-320-6062
Mailing Address - Fax:
Practice Address - Street 1:2344 CENTERVILLE RD STE 102
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4389
Practice Address - Country:US
Practice Address - Phone:850-320-6062
Practice Address - Fax:850-320-6225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-20
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211657251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health