Individual provider · Type 1 NPI
Tawana Latrice Austin
Adult Day Care Clinic/Center · Alton, IL
NPI number
1295697704
Active
Practice location
37 E Delmar Ave
Alton, IL 62002-5903
Fax (314) 228-0252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1295697704
Tawana Latrice Austin's National Provider Identifier is 1295697704, issued on Dec 2, 2025. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Alton, IL. The record was last updated on Dec 2, 2025.