Organization
TYLER COMMUNITY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAMONICA JARJU (CEO, ADMINISTRATOR)
(903) 330-9625
Entity
Organization
Contact information
Practice address
11930 GILLIAN COURT, TYLER, TX 75703
(903) 871-5093
Mailing address
1910 ESE LOOP323 # 220, TYLER, TX 75701-8337
(903) 871-5093
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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