MEDICARE: TENDER HANDS SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	A11276	FL

General Provider Information

NPI Number	:	1922253335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER HANDS SERVICES LLC

Provider Business Mailing Address
First Line	:	17600 NE 2ND CT
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-1772
Country	:	US
Telephone Number	:	305-651-7899
Fax Number	:	305-328-9358

Provider Business Practice Location Address
First Line	:	17600 NE 2ND CT
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-1772
Country	:	US
Telephone Number	:	305-651-7899
Fax Number	:	305-328-9358

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GRAZIELLA M DORSAIVIL
Credential	:
Telephone Number	:	305-651-7899

Provider Enumeration Date	:	11/26/2008
Last Update Date	:	11/26/2008

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