Individual
MRS. TANISHA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5943 RIDGEWAY DR, GRAND PRAIRIE, TX 75052-0444
(817) 404-7733
Mailing address
5943 RIDGEWAY DR, GRAND PRAIRIE, TX 75052-0444
(817) 404-7733
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
TX
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/22/2020
Last updated
12/05/2022
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