Organization
PROMISE HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY TARAWALLIE (PRESIDENT)
(813) 850-1547
Entity
Organization
Contact information
Practice address
315 BAHAMAS AVE, TAMPA, FL 33617
(813) 644-4043
Mailing address
315 BAHAMAS AVE, TAMPA, FL 33617
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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