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Tiffany Lynn Sullivan
Home Health Agency in Holiday, Florida
NPI 1417604372

Tiffany Lynn Sullivan is a Home Health Agency based in Holiday, FL. Tiffany Lynn Sullivan practices in Holiday, FL. The NPI Number for Tiffany Lynn Sullivan is 1417604372 and holds a License No. CNA303677 (Florida).

The current practice location address for Tiffany Lynn Sullivan is 5607 Mirada Dr, Holiday, FL and can be reached out via phone at 352-488-8240.

Location: 5607 Mirada Dr, Holiday, FL, 34690-2227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417604372
Provider Name
Tiffany Lynn Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
5607 Mirada Dr, Holiday, FL, 34690-2227
Phone Number
352-488-8240
Fax Number
Provider Enumeration Date
03/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5607 Mirada Dr
City
Holiday
State
Florida
Zip
34690-2227
Phone Number
352-488-8240
Fax Number
person
Provider Business Mailing Address Details
Address
5607 Mirada Dr
City
Holiday
State
Florida
Zip
34690-2227
Phone Number
352-488-8240
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
CNA303677 (Florida)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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