Individual
TIFFANIE R RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 CATFISH LN, BASTROP, TX 78602-2328
(531) 777-8987
(531) 888-8655
Mailing address
1141 CATFISH LN, BASTROP, TX 78602-2328
(531) 777-8987
(531) 888-8655
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
38017092
NE
372600000X
Adult Companion
38017092
NE
3747P1801X
Personal Care Attendant
Primary
38017092
NE
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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