Organization
T-JA ENTERPRISE LLC
Active
Other names
Lifeline In Home Care Staffing
Organization subpart
No
Provider details
NPI number
Authorized official
ROGIE MALLARI LICENSEE (MANAGING OWNER)
(707) 803-0654
Entity
Organization
Contact information
Practice address
107 SANDPIPER DR, VALLEJO, CA 94589-1438
(707) 803-0654
(707) 402-6504
Mailing address
5065 SOPRANO CIR, FAIRFIELD, CA 94534-6897
(707) 803-0654
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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