Provider Demographics
NPI:1386419885
Name:TSW HEALTHCARE SERVICE, LLC
Entity type:Organization
Organization Name:TSW HEALTHCARE SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIMIKA
Authorized Official - Middle Name:SHAVON
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:610-773-8115
Mailing Address - Street 1:1417 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19079-2420
Mailing Address - Country:US
Mailing Address - Phone:610-773-8115
Mailing Address - Fax:
Practice Address - Street 1:1417 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-2420
Practice Address - Country:US
Practice Address - Phone:610-773-8115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health