LILLIE TIDWELL

Homemaker

Active Individual
NPI: 1639715121

Practice Address

2332 ISLE ROYALE CT SE
Winter Haven, FL 33880

Phone: (863) 595-6212

Specialties

Specialty Code Primary License
Homemaker 376J00000X Yes 104129000 (FL)

Frequently Asked Questions

NPI 1639715121 is the National Provider Identifier for LILLIE TIDWELL, a Homemaker provider located in Winter Haven, FL. This NPI was enumerated on November 20, 2019.
LILLIE TIDWELL practices at 2332 ISLE ROYALE CT SE, Winter Haven, FL 33880.

Quick Facts

NPI
1639715121
Type
Individual
Enumerated
Nov 20, 2019
Last Updated
Nov 3, 2022

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