# TATIANA'S HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215220256
- **Authorized official:** DR. TATIANA CHILDRED DR. (OWNER / OPERATOR)
- **Authorized official phone:** (937) 241-4417

## Contact information

- **Practice address:** 3220 BEAVER VU DR STE 110, BEAVERCREEK, OH 45434-6400
- **Practice address phone:** (937) 241-4417
- **Practice address fax:** (937) 241-4417
- **Mailing address:** 3220 BEAVER VU DR STE 110, BEAVERCREEK, OH 45434-6400
- **Mailing address phone:** (937) 228-0811
- **Mailing address fax:** (937) 228-0886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2011
- **Last updated:** 09/04/2024