Organization
T & R TENDER LOVING CARE AND MORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA LATRICE BULLOCK (CEO)
(317) 938-5251
Entity
Organization
Contact information
Practice address
8113 RED BARN CT, INDIANAPOLIS, IN 46239-7644
(317) 938-5251
(317) 550-0801
Mailing address
8113 RED BARN CT, INDIANAPOLIS, IN 46239-7644
(317) 938-5251
(317) 550-0801
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
02/19/2024
Last updated
10/04/2024
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