Provider Demographics
NPI:1053193789
Name:TMH RESTORATIVE CARE INC
Entity type:Organization
Organization Name:TMH RESTORATIVE CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TATICHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALIBURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-370-8622
Mailing Address - Street 1:500 S AUSTRALIAN AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6237
Mailing Address - Country:US
Mailing Address - Phone:561-220-2424
Mailing Address - Fax:
Practice Address - Street 1:500 S AUSTRALIAN AVE STE 600
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6237
Practice Address - Country:US
Practice Address - Phone:561-220-2424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health