Provider Demographics
NPI:1720293491
Name:T & M SPECIAL SERVICES, INC.ICE
Entity Type:Organization
Organization Name:T & M SPECIAL SERVICES, INC.ICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-398-6521
Mailing Address - Street 1:690 DAFFODIL DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOWARD
Mailing Address - State:OH
Mailing Address - Zip Code:43028-9395
Mailing Address - Country:US
Mailing Address - Phone:740-398-6521
Mailing Address - Fax:740-397-5245
Practice Address - Street 1:690 DAFFODIL DR
Practice Address - Street 2:SUITE A
Practice Address - City:HOWARD
Practice Address - State:OH
Practice Address - Zip Code:43028-9395
Practice Address - Country:US
Practice Address - Phone:740-398-6521
Practice Address - Fax:740-397-5245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2720185Medicaid