Provider Demographics
NPI:1407393531
Name:T&T HOME HEALTH CARE AGENCY
Entity Type:Organization
Organization Name:T&T HOME HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TENEESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-703-8228
Mailing Address - Street 1:20649 N MAC NEIL CT
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-6811
Mailing Address - Country:US
Mailing Address - Phone:623-703-8228
Mailing Address - Fax:
Practice Address - Street 1:20649 N MAC NEIL CT
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-6811
Practice Address - Country:US
Practice Address - Phone:623-703-8228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health