Organization
TIFFANY CARE CENTERS, INC
Active
Other names
Tiffany In Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA MILLER (CFO)
(660) 442-3128
Entity
Organization
Contact information
Practice address
1105 STATE ST., MOUND CITY, MO 64470-0308
(660) 442-3128
Mailing address
1105 STATE ST., PO BOX 308, MOUND CITY, MO 64470-0308
(660) 442-3128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374700000X
Technician
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
—
—
376G00000X
Nursing Home Administrator
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/27/2007
Last updated
08/10/2007
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