Provider Demographics
NPI:1740520030
Name:TEMM TCM AGENCY
Entity type:Organization
Organization Name:TEMM TCM AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELLENA
Authorized Official - Middle Name:FOY
Authorized Official - Last Name:MCZEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:407-760-8959
Mailing Address - Street 1:4302 PINE HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-2535
Mailing Address - Country:US
Mailing Address - Phone:407-760-8959
Mailing Address - Fax:
Practice Address - Street 1:4302 PINE HILLS CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-2535
Practice Address - Country:US
Practice Address - Phone:407-760-8959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management