Organization
TANYA'S HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE VIOLA BUSSEY (OWNER)
(445) 285-1674
Entity
Organization
Contact information
Practice address
104 S 20TH ST, PHILADELPHIA, PA 19103-4410
(445) 285-1674
(445) 285-1674
Mailing address
45 E CITY AVE # 1558, BALA CYNWYD, PA 19004-2421
(445) 285-1674
(445) 285-1674
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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