Healthcare Provider Details

I. General information

NPI: 1912539149
Provider Name (Legal Business Name): TIH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2020
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1246 BEVERLY HILLS RD APT 207
HATTIESBURG MS
39401-4464
US

IV. Provider business mailing address

1246 BEVERLY HILLS RD APT 207
HATTIESBURG MS
39401-4464
US

V. Phone/Fax

Practice location:
  • Phone: 800-927-1943
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TYRIKA IECHA HUGHES
Title or Position: OPERATION MANAGER
Credential:
Phone: 800-927-1943