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Individual
TSEHAYE TESHOME
Active
Individual
TSEHAYE TESHOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
000000021383
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
000000021383
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021383
DIDDS
TN
Enumeration date
06/07/2022
Last updated
06/07/2022
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