Organization
TAKE HOME SPEECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMA GRACE SHAY MS (SOLE MBR)
(907) 395-0348
Entity
Organization
Contact information
Practice address
37397 CETACEA LN, KENAI, AK 99611-8778
(907) 395-0348
(844) 548-5674
Mailing address
37397 CETACEA LN, KENAI, AK 99611-8778
(907) 395-0348
(844) 548-5674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
530
AK
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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