Nefertiti Tate, DIRECTOR

NPI #1093106387 in Ellenton, Florida

Provider Information

NPI Number: 1093106387
Entity Type: Individual
Name: Nefertiti Tate, DIRECTOR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Credential: DIRECTOR
Enumeration Date: Feb 9, 2015
Last Updated: Jun 10, 2019

Practice Location

Address: 945 25TH DR E STE 1
City: Ellenton
State: Florida
ZIP Code: 34222-2054
Phone: (941) 981-5342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Private Vehicle	347C00000X
Homemaker	376J00000X
Adult Companion	372600000X	Primary

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