Healthcare Provider Details

I. General information

NPI: 1649284944
Provider Name (Legal Business Name): TLC HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 09/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 W FLAGLER STREET STE 106A
MIAMI FL
33144-2063
US

IV. Provider business mailing address

8500 W FLAGLER STREET STE 106A
MIAMI FL
33144-2063
US

V. Phone/Fax

Practice location:
  • Phone: 305-222-8488
  • Fax: 305-222-8486
Mailing address:
  • Phone: 305-222-8488
  • Fax: 305-222-8486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number21152096
License Number StateFL

VIII. Authorized Official

Name: MRS. ISABEL ROS
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 305-222-8488