Provider Demographics
NPI:1447350293
Name:TT&T SERVICES INC
Entity type:Organization
Organization Name:TT&T SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:EUNICETEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-904-1189
Mailing Address - Street 1:126 N MAIN ST
Mailing Address - Street 2:P. O. BOX 1685
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-2804
Mailing Address - Country:US
Mailing Address - Phone:910-904-1189
Mailing Address - Fax:910-875-3073
Practice Address - Street 1:126 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-2804
Practice Address - Country:US
Practice Address - Phone:910-904-1189
Practice Address - Fax:910-875-3073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2510000X251E00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301569JMedicaid
NC6601279Medicaid
NC8301569Medicaid
NC3408466Medicaid
NC6603597Medicaid
NC5906475Medicaid
NC8301569BMedicaid
NC6006042Medicaid
NC8301569GMedicaid
NC3302300Medicaid
NC3408368Medicaid