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General NPI Number Information
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NPI Number | 1902974470
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Entity Type | Organization
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Legal Business Name | TLAY HEALTHCARE SERVICES, LLC.
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 2744 US HIGHWAY 1 S
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32086-6336
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Country | US
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Telephone | 904-794-7601
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Fax | 904-794-7602
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Provider Business Mailing Address
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Address Line | 2802 N 5TH ST STE 200
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32084-2186
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Country | US
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Telephone | 904-794-7601
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Fax | 904-794-7602
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Authorized Official
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Title or Position | PRESIDENT OF HOME HEALTH
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Name | MARCELLA LYNCH
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Credential |
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Telephone | 470-392-9412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299992514
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License Number State | FL
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