Individual
TASHA TOLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3740 GUS THOMASSON RD APT 814, MESQUITE, TX 75150-3690
(800) 573-4112
Mailing address
3740 GUS THOMASSON RD APT 814, MESQUITE, TX 75150-3690
(214) 274-9546
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/09/2017
Last updated
03/30/2022
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