# CERTIFIED DEMENTIA SPECIALIST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dementia Specialist Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881139327
- **Authorized official:** BAILIE TINNEY OTR, CDS (OWNER/CONSULTANT)
- **Authorized official phone:** (432) 557-8627

## Contact information

- **Practice address:** 220 S NATURAL SPRINGS LN, AZLE, TX 76020-1379
- **Practice address phone:** (432) 557-8627
- **Mailing address:** 220 S NATURAL SPRINGS LN, AZLE, TX 76020-1379
- **Mailing address phone:** (432) 557-8627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2016
- **Last updated:** 12/19/2016