DESTINED FOR CHANGE LLC NPI 1720593627

NPI Information

DESTINED FOR CHANGE LLC is a homemaker in Tampa, FL. The provider is 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. DESTINED FOR CHANGE LLC NPI is 1720593627. The provider is registered as an organization entity type.

The provider's business location address is:

2094 W BUSCH BLVD
TAMPA, FL
ZIP 33612-568
Phone: (813) 867-0053
Fax: (877) 349-6369

The provider's authorized official is Chavarra Simmons .
The authorized official title is Executive Director and has the following contact phone number (813) 867-0053.

The enumeration date for this NPI number is 12/13/2017 and was last updated on 9/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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