Provider Demographics
NPI:1821741232
Name:DREAM LIVIN' LLC
Entity Type:Organization
Organization Name:DREAM LIVIN' LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMI
Authorized Official - Middle Name:
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-384-3344
Mailing Address - Street 1:7091 HOMEPLACE LN
Mailing Address - Street 2:
Mailing Address - City:MOLINO
Mailing Address - State:FL
Mailing Address - Zip Code:32577-9491
Mailing Address - Country:US
Mailing Address - Phone:850-384-3344
Mailing Address - Fax:
Practice Address - Street 1:7091 HOMEPLACE LN
Practice Address - Street 2:
Practice Address - City:MOLINO
Practice Address - State:FL
Practice Address - Zip Code:32577-9491
Practice Address - Country:US
Practice Address - Phone:850-384-3344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management