Healthcare Provider Details

I. General information

NPI: 1093420077
Provider Name (Legal Business Name): TLC COMFORT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2023
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 DUNDEE RD
DUNDEE FL
33838-4176
US

IV. Provider business mailing address

304 LAKEVIEW BLVD
WINTER HAVEN FL
33880-1124
US

V. Phone/Fax

Practice location:
  • Phone: 863-280-4230
  • Fax:
Mailing address:
  • Phone: 863-280-4230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MISS CANDACE DUCKING
Title or Position: OWNER
Credential:
Phone: 863-280-4230