Organization
CHEYENNE TOTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OCTAVIA ALLEN (OWNER)
(213) 268-4577
Entity
Organization
Contact information
Practice address
2020 SHADY GLEN TRL, PRINCETON, TX 75407-2660
(469) 844-4122
(469) 590-0020
Mailing address
2020 SHADY GLEN TRL, PRINCETON, TX 75407-2660
(469) 844-4122
(469) 590-0020
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144110461
—
TX
Enumeration date
07/08/2025
Last updated
07/08/2025
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