Organization
TIKA HOME CARE LLC.
Active
Organization
TIKA HOME CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA V. WADE (100 PERCENT OWNER)
(803) 497-3713
Entity
Organization
Contact information
Practice address
628 CASSIDY RD, GASTON, SC 29053
(803) 497-3713
Mailing address
628 CASSIDY RD, GASTON, SC 29053
(803) 497-3713
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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