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NPI Code Detail

MEDICARE: TARAS DREAM CATCHERS LLC

MEDICARE: TARAS DREAM CATCHERS 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1932868502
Entity Type Code : Organization
Provider Name (Legal Business Name) : TARAS DREAM CATCHERS LLC
Provider Business Mailing Address
First Line : 6246 E HALIFAX ST
Second Line :
City : MESA
State : AZ
Zip : 85205-4535
Country : US
Telephone Number : 480-299-7280
Fax Number :
Provider Business Practice Location Address
First Line : 6246 E HALIFAX ST
Second Line :
City : MESA
State : AZ
Zip : 85205-4535
Country : US
Telephone Number : 480-299-7280
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TARA D CANTRELL
Credential :
Telephone Number : 480-299-7280
Provider Enumeration Date : 12/10/2021
Last Update Date : 12/10/2021

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Directions to “TARAS DREAM CATCHERS LLC ” Practice Location

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