Organization
TIFFANY CARE CENTERS, INC
Active
Other names
Tiffany In Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WILBURN RN (REGIONAL DIRECTOR)
(660) 442-3128
Entity
Organization
Contact information
Practice address
1105 STATE ST, MOUND CITY, MO 64470-0308
(660) 442-3128
(660) 442-3717
Mailing address
PO BOX 308, 1105 STATE ST, MOUND CITY, MO 64470-0308
(660) 442-3128
(660) 442-3717
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374700000X
Technician
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
—
—
376G00000X
Nursing Home Administrator
—
—
376J00000X
Homemaker
—
MO
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
11/20/2006
Last updated
09/11/2025
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