MEDICARE: T&B HOME CARE SERVICES

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	14026	LA

General Provider Information

NPI Number	:	1285812842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T&B HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	310 DABNEY ST
Second Line	:
City	:	TALLULAH
State	:	LA
Zip	:	71282-4232
Country	:	US
Telephone Number	:	318-574-5040
Fax Number	:	318-574-5090

Provider Business Practice Location Address
First Line	:	310 DABNEY ST
Second Line	:
City	:	TALLULAH
State	:	LA
Zip	:	71282-4232
Country	:	US
Telephone Number	:	318-574-5040
Fax Number	:	318-574-5090

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. WILLIE E LOYNS
Credential	:	BACHELOR OF SCIENCE
Telephone Number	:	318-574-5040

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	06/30/2008

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Directions to “T&B HOME CARE SERVICES ” Practice Location

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