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Organization
TEENEX HOME CARE SERVICES, LLC
Active
Organization
TEENEX HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUGUSTINAH BAWA SHITGURUM (ADMINISTRATION)
(336) 307-1627
Entity
Organization
Contact information
Practice address
25252 SW 115TH AVE, HOMESTEAD, FL 33032-3115
(336) 307-1627
Mailing address
25252 SW 115TH AVE, HOMESTEAD, FL 33032-3115
(336) 307-1627
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
10/24/2023
Last updated
11/06/2023
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