MEDICARE: DTS HOUSING SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	347C00000X	Private Vehicle
3	177F00000X	Lodging Provider

General Provider Information

NPI Number	:	1922678614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DTS HOUSING SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	6501 ARLINGTON EXPY # B1052198
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-5779
Country	:	US
Telephone Number	:	904-631-5758
Fax Number	:

Provider Business Practice Location Address
First Line	:	8764 7TH AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-2514
Country	:	US
Telephone Number	:	904-631-5758
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAHMICA N MCNAIR
Credential	:
Telephone Number	:	904-631-5758

Provider Enumeration Date	:	06/25/2021
Last Update Date	:	06/25/2021

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Directions to “DTS HOUSING SOLUTIONS LLC ” Practice Location

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