Tiamat Enterprises, Inc.
NPI #1295062982 in West Peoria, Illinois
Provider Information
- NPI Number
- 1295062982
- Entity Type
- Organization
- Organization Name
- Tiamat Enterprises, Inc.
- Primary Specialty
- Home Health
- Enumeration Date
- Nov 17, 2009
- Last Updated
- Jan 13, 2010
Practice Location
- Address
- 2027 W FARMINGTON RD
- Address 2
- SUITE C
- City
- West Peoria
- State
- Illinois
- ZIP Code
- 61604-3958
- Phone
- (309) 282-7970
Authorized Official
- Name
- JEFFREY ADAM SALTER
- Title
- PRESIDENT
- Phone
- (210) 757-4650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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