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General NPI Number Information
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NPI Number | 1083442818
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Entity Type | Organization
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Legal Business Name | TMH RESTORATIVE CARE INC
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 500 S AUSTRALIAN AVE STE 600
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6237
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Country | US
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Telephone | 561-220-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 1051 CENTER STONE LANE
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City | RIVIERA BEACH
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State | FL
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Zip | 33404
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Country | US
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Telephone | 561-370-8622
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TATICHIA HALIBURTON
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Credential |
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Telephone | 561-370-8622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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