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Organization
TIAMAT ENTERPRISES, INC.
Active
Organization
TIAMAT ENTERPRISES, INC.
Active
Other names
Caring Senior Service of Bloomington
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ADAM SALTER (PRESIDENT)
(210) 757-4650
Entity
Organization
Contact information
Practice address
1717 R T DUNN DR, SUITE 201-2, BLOOMINGTON, IL 61701-8709
(309) 550-5128
Mailing address
201 E PARK AVE, SAN ANTONIO, TX 78212-4657
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3000214
IL
Other
Enumeration date
12/31/2009
Last updated
01/13/2010
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