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Organization

YOUR TAILOR MADE SENIOR SERVICE INC

Active
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Organization

YOUR TAILOR MADE SENIOR SERVICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE MORRIS (VICE PRESIDENT OF OPERATIONS)
(469) 960-4004
Entity
Organization

Contact information

Practice address
4245 N CENTRAL EXPY STE 490, DALLAS, TX 75205-4231
(469) 960-4004
Mailing address
4245 N CENTRAL EXPY STE 490, DALLAS, TX 75205-4231
(469) 960-4004

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
305S00000X
Point of Service
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—

Other

Enumeration date
11/30/2022
Last updated
06/10/2023
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