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Lillie Tidwell
Homemaker in Winter Haven, Florida
NPI 1639715121

Lillie Tidwell is a Homemaker based in Winter Haven, FL. Lillie Tidwell practices in Winter Haven, FL. The NPI Number for Lillie Tidwell is 1639715121 and holds a License No. 104129000 (Florida).

The current practice location address for Lillie Tidwell is 2332 Isle Royale Ct Se, Winter Haven, FL and can be reached out via phone at 863-595-6212.

Location: 2332 Isle Royale Ct Se, Winter Haven, FL, 33880-4325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639715121
Provider Name
Lillie Tidwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
2332 Isle Royale Ct Se, Winter Haven, FL, 33880-4325
Phone Number
863-595-6212
Fax Number
Provider Enumeration Date
11/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104851900 05 FL
104129000 05 FL
institution
Provider Business Practice Location Address Details
Address
2332 Isle Royale Ct Se
City
Winter Haven
State
Florida
Zip
33880-4325
Phone Number
863-595-6212
Fax Number
person
Provider Business Mailing Address Details
Address
2332 Isle Royale Ct Se
City
Winter Haven
State
Florida
Zip
33880-4325
Phone Number
863-595-6212
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
104129000 (Florida)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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