Organization
TIAMAT ENTERPRISES, INC.
Active
Other names
Caring Senior Service of Bloomington
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ADAM SALTER (PRESIDENT)
(210) 757-4650
Entity
Organization
Contact information
Practice address
1717 R T DUNN DR, SUITE 201-2, BLOOMINGTON, IL 61701-8709
(309) 550-5128
Mailing address
201 E PARK AVE, SAN ANTONIO, TX 78212-4657
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3000214
IL
Other
Enumeration date
12/31/2009
Last updated
01/13/2010
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