Individual provider · Type 1 NPI

Tammie Latisha Bolton

Community Based Hospice Care Agency · Bradenton, FL

NPI number 1619299351 Active

Practice location

6642 68th St E
Bradenton, FL 34203-9765

Fax (941) 567-0452

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000X231506 (FL)

Community Based Hospice Care Agency: Definition to come...

About NPI 1619299351

Tammie Latisha Bolton's National Provider Identifier is 1619299351, issued on Feb 22, 2010. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Bradenton, FL. The record was last updated on Feb 22, 2010.