Organization
AT TALITHA CUMI HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASHIRA M. RIVAS (PRESIDENT)
(756) 454-7021
Entity
Organization
Contact information
Practice address
600 N. THACKER AVE, SUITE D62, KISSIMMEE, FL 34741
(786) 452-1226
(786) 452-1227
Mailing address
1840 W 49TH ST STE 224, HIALEAH, FL 33012-2949
(786) 452-1226
(786) 452-1227
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
232309
FL
3747A0650X
Attendant Care Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002806200
—
FL
05
—
002806203
—
FL
05
—
002806209
—
FL
Enumeration date
12/16/2013
Last updated
03/15/2023
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