Organization
TALIA TOTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TICHAWONA MICHELLE MARANYIKA (CE0/ADMINISTRATOR)
(469) 647-2470
Entity
Organization
Contact information
Practice address
6028 TALLISA DR, AUBREY, TX 76227-1900
(469) 647-2470
Mailing address
6028 TALLISA DR, AUBREY, TX 76227-1900
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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