Individual
TASJANEA K BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8682 BATON ROUGE DR, DAYTON, OH 45424-1041
(937) 260-3484
Mailing address
8682 BATON ROUGE DR, DAYTON, OH 45424-1041
(937) 260-3484
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
174200000X
Meals Provider
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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