Organization
TICA'S COMPASSIONATE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ANN CERVANTES (OWNER)
(630) 946-4095
Entity
Organization
Contact information
Practice address
1303 COULSON DR, CHEBOYGAN, MI 49721-9320
(630) 946-4095
Mailing address
1303 COULSON DR, CHEBOYGAN, MI 49721-9320
(630) 946-4095
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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