Organization
TIFFANY CARE CENTERS, INC
Active
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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