MEDICARE: TINY BLESSINGS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1043613219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TINY BLESSINGS, LLC

Provider Business Mailing Address
First Line	:	256 W ACRES RD
Second Line	:
City	:	GUN BARREL CITY
State	:	TX
Zip	:	75156-5355
Country	:	US
Telephone Number	:	903-603-1292
Fax Number	:	903-887-0133

Provider Business Practice Location Address
First Line	:	256 W ACRES RD
Second Line	:
City	:	GUN BARREL CITY
State	:	TX
Zip	:	75156-5355
Country	:	US
Telephone Number	:	903-603-1292
Fax Number	:	903-887-0133

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINA KAY UMANA
Credential	:
Telephone Number	:	903-603-1292

Provider Enumeration Date	:	10/02/2014
Last Update Date	:	10/02/2014

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Directions to “TINY BLESSINGS, LLC ” Practice Location

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