Organization
TAYYBAT PERSONAL CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRASHANDA CLEVELAND (CFO/ADMINISTRATOR)
(414) 366-4514
Entity
Organization
Contact information
Practice address
342 N WATER ST STE 600, MILWAUKEE, WI 53202-5715
(414) 366-4514
Mailing address
6505 W CENTER ST APT 2, MILWAUKEE, WI 53210-1371
(414) 366-4514
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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