# TYLER COMMUNITY HOME CARE, LLC

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

## Provider details

- **NPI number:** 1972373017
- **Authorized official:** MS. SHAMONICA JARJU (CEO, ADMINISTRATOR)
- **Authorized official phone:** (903) 330-9625

## Contact information

- **Practice address:** 11930 GILLIAN COURT, TYLER, TX 75703
- **Practice address phone:** (903) 871-5093
- **Mailing address:** 1910 ESE LOOP323 \# 220, TYLER, TX 75701-8337
- **Mailing address phone:** (903) 871-5093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 01/08/2024
- **Last updated:** 01/08/2024