Healthcare Provider Details

I. General information

NPI: 1013849231
Provider Name (Legal Business Name): T & T ENRICHMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 WILLIAMSBURG AVE
JACKSONVILLE FL
32208-1745
US

IV. Provider business mailing address

4410 WILLIAMSBURG AVE
JACKSONVILLE FL
32208-1745
US

V. Phone/Fax

Practice location:
  • Phone: 904-887-2255
  • Fax: 904-887-2255
Mailing address:
  • Phone: 904-887-2255
  • Fax: 904-300-3848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TIAJUANA S TAYLOR
Title or Position: PRESIDENT
Credential:
Phone: 904-887-2255