Organization
TSIN-NAN-TEE, ELDERLY CARE PROVIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH H. YAZZIE (CEO)
(928) 724-3192
Entity
Organization
Contact information
Practice address
3 MILES EAST OF TSAILE JUNCTION AT MP 73, TSAILE, AZ 86556-0119
(928) 724-3192
Mailing address
PO BOX 83B, TSAILE, AZ 86556-0119
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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