Provider Demographics
NPI:1528384666
Name:THERAPEUTIC SOLUTIONS HOME HEALTH 2010
Entity Type:Organization
Organization Name:THERAPEUTIC SOLUTIONS HOME HEALTH 2010
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATEISHA-LYNN
Authorized Official - Middle Name:VANTRICE
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-430-6131
Mailing Address - Street 1:125 TIGERLILY COURT
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33836
Mailing Address - Country:US
Mailing Address - Phone:863-430-6131
Mailing Address - Fax:863-438-4345
Practice Address - Street 1:125 TIGERLILY COURT
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33836
Practice Address - Country:US
Practice Address - Phone:863-430-6131
Practice Address - Fax:863-438-4345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health