MEDICARE: T & TS HEALTHCARE 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	385H00000X	Respite Care

General Provider Information

NPI Number	:	1104678614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T & TS HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	4118 W GOOD HOPE RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-2248
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4118 W GOOD HOPE RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-2248
Country	:	US
Telephone Number	:	262-717-8611
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LETICIA WESLEY
Credential	:
Telephone Number	:	262-717-8611

Provider Enumeration Date	:	04/05/2024
Last Update Date	:	04/16/2024

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