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Organization
TIAMAT ENTERPRISES, INC.
Active
Organization
TIAMAT ENTERPRISES, INC.
Active
Other names
Caring Senior Service of Peoria
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ADAM SALTER (PRESIDENT)
(210) 757-4650
Entity
Organization
Contact information
Practice address
2027 W FARMINGTON RD, SUITE C, WEST PEORIA, IL 61604-3958
(309) 282-7970
Mailing address
201 E PARK AVE, SAN ANTONIO, TX 78212-4657
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
300214
IL
Other
Enumeration date
11/17/2009
Last updated
01/13/2010
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