Tiamat Enterprises, Inc.
NPI #1629308374 in Bloomington, Illinois
Provider Information
- NPI Number
- 1629308374
- Entity Type
- Organization
- Organization Name
- Tiamat Enterprises, Inc.
- Primary Specialty
- Home Health
- Enumeration Date
- Dec 31, 2009
- Last Updated
- Jan 13, 2010
Practice Location
- Address
- 1717 R T DUNN DR
- Address 2
- SUITE 201-2
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-8709
- Phone
- (309) 550-5128
Authorized Official
- Name
- JEFFREY ADAM SALTER
- Title
- PRESIDENT
- Phone
- (210) 757-4650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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