Organization
TABOTABO'S HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA TABOTABO (OWNER/ADMINISTRATOR)
(209) 636-9288
Entity
Organization
Contact information
Practice address
2815 SILVERCREST ST, PLACERVILLE, CA 95667-3459
(209) 636-9288
Mailing address
2815 SILVERCREST ST, PLACERVILLE, CA 95667-3459
(209) 636-9288
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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