# TABOTABO'S HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912641697
- **Authorized official:** LARA TABOTABO (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (209) 636-9288

## Contact information

- **Practice address:** 2815 SILVERCREST ST, PLACERVILLE, CA 95667-3459
- **Practice address phone:** (209) 636-9288
- **Mailing address:** 2815 SILVERCREST ST, PLACERVILLE, CA 95667-3459
- **Mailing address phone:** (209) 636-9288

## Taxonomy

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

## Other

- **Enumeration date:** 04/27/2022
- **Last updated:** 04/27/2022