Provider Demographics
NPI:1821473976
Name:T & T PROVIDERS INC
Entity Type:Organization
Organization Name:T & T PROVIDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TITIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-994-4284
Mailing Address - Street 1:1947 N PEARL ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32206-3640
Mailing Address - Country:US
Mailing Address - Phone:904-994-4284
Mailing Address - Fax:904-300-3970
Practice Address - Street 1:1947 N PEARL ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32206-3640
Practice Address - Country:US
Practice Address - Phone:904-994-4284
Practice Address - Fax:904-300-3970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health