Healthcare Provider Details

I. General information

NPI: 1437805728
Provider Name (Legal Business Name): T&T MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 12/08/2022
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4430 B ST SE
WASHINGTON DC
20019-4358
US

IV. Provider business mailing address

4430 B ST SE # DC
WASHINGTON DC
20019-4358
US

V. Phone/Fax

Practice location:
  • Phone: 240-413-4507
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: TALIA CAVINESS
Title or Position: CEO
Credential:
Phone: 240-413-4507