Healthcare Provider Details

I. General information

NPI: 1801084967
Provider Name (Legal Business Name): TENDER LOVE AND CARE INDEPENDENT LIVING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2007
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 WOODDALE SUITE 119 B
BATON ROUGE LA
70806-1539
US

IV. Provider business mailing address

PO BOX 54366
BATON ROUGE LA
70892-4366
US

V. Phone/Fax

Practice location:
  • Phone: 225-932-9888
  • Fax: 225-932-9880
Mailing address:
  • Phone: 225-932-9888
  • Fax: 225-932-9880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. LAWRENCE PAUL BUGGAGE
Title or Position: OWNER
Credential:
Phone: 225-932-9888