Provider Demographics
NPI:1629403506
Name:MULTI-TASK GENIE, LLC DBA ALLIED PRO-HEALTH CARE
Entity Type:Organization
Organization Name:MULTI-TASK GENIE, LLC DBA ALLIED PRO-HEALTH CARE
Other - Org Name:ALLIED PRO-HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-346-3999
Mailing Address - Street 1:8620 S. TAMIAMI TRAIL
Mailing Address - Street 2:SUITE D
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238
Mailing Address - Country:US
Mailing Address - Phone:941-346-3999
Mailing Address - Fax:877-839-2717
Practice Address - Street 1:8620 S TAMIAMI TRAIL
Practice Address - Street 2:SUITE D
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238
Practice Address - Country:US
Practice Address - Phone:941-346-3999
Practice Address - Fax:877-839-2717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001362200Medicaid