Provider Demographics
NPI:1740659119
Name:TALITHAS PLACE
Entity type:Organization
Organization Name:TALITHAS PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:JARMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-366-5726
Mailing Address - Street 1:919 WALTER ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-2938
Mailing Address - Country:US
Mailing Address - Phone:512-366-5726
Mailing Address - Fax:
Practice Address - Street 1:1803 ULIT AVENUE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702
Practice Address - Country:US
Practice Address - Phone:512-366-5726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care