Organization
AT TALITHA CUMI HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASHIRA M. RIVAS (PRESIDENT)
(786) 454-7021
Entity
Organization
Contact information
Practice address
3201 GRIFFIN RD STE 202, FORT LAUDERDALE, FL 33312-6900
(786) 452-1226
Mailing address
1840 W 49TH ST STE 224, HIALEAH, FL 33012-2949
(786) 452-1226
(786) 452-1227
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
234611
FL
376J00000X
Homemaker
234611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002806208
—
FL
Enumeration date
10/03/2017
Last updated
12/11/2024
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