MEDICARE: TNT NURSING 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	251J00000X	Nursing Care Agency	4703081487	MI

General Provider Information

NPI Number	:	1720257322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TNT NURSING SERVICES LLC

Provider Business Mailing Address
First Line	:	8695 GRAND KAL RD SW
Second Line	:
City	:	FIFE LAKE
State	:	MI
Zip	:	49633-9528
Country	:	US
Telephone Number	:	231-879-4230
Fax Number	:	231-879-4230

Provider Business Practice Location Address
First Line	:	8695 GRAND KAL RD SW
Second Line	:
City	:	FIFE LAKE
State	:	MI
Zip	:	49633-9528
Country	:	US
Telephone Number	:	231-879-4230
Fax Number	:	231-879-4230

Authorized Official
Title or Position	:	OWNER
Name	:	THERESA L LAFATA-PROVOST
Credential	:
Telephone Number	:	231-879-4230

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	08/07/2008

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Directions to “TNT NURSING SERVICES LLC ” Practice Location

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