MEDICARE: FREDDI T LANE ENTERPRISES INC DBA SUNNY DAYS COMPANION SERVICES

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	376J00000X	Homemaker
2	372600000X	Adult Companion

General Provider Information

NPI Number	:	1124987128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREDDI T LANE ENTERPRISES INC DBA SUNNY DAYS COMPANION SERVICES

Provider Business Mailing Address
First Line	:	13194 US HIGHWAY 301 S STE 170
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33578-7410
Country	:	US
Telephone Number	:	813-433-0688
Fax Number	:

Provider Business Practice Location Address
First Line	:	13711 TONYA ANNE DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33579-3002
Country	:	US
Telephone Number	:	813-433-0688
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CHIEF OPERATING. OFFICER
Name	:	TONYA VONDETTA HARRISON
Credential	:
Telephone Number	:	813-433-0688

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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