Provider Demographics
NPI:1417636663
Name:TWIN CITY MOBILE INTEGRATED HEALTHCARE LLC
Entity Type:Organization
Organization Name:TWIN CITY MOBILE INTEGRATED HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CADS
Authorized Official - Phone:340-332-9314
Mailing Address - Street 1:6049 CASTLE COAKLEY STE 5
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-5204
Mailing Address - Country:US
Mailing Address - Phone:340-332-9314
Mailing Address - Fax:
Practice Address - Street 1:6049 CASTLE COAKLEY STE 5
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-5204
Practice Address - Country:US
Practice Address - Phone:340-332-9314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care