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General NPI Number Information
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NPI Number | 1053623140
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Entity Type | Organization
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Legal Business Name | TENDER LOVING CARE HOMES, INC.
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 2 WALDEN RIDGE DRIVE SUITE #30
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City | ASHEVILLE
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State | NC
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Zip | 28803-3306
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Country | US
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Telephone | 828-676-1657
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Fax | 828-651-9083
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Provider Business Mailing Address
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Address Line | 1854 HENDERSONVILLE RD UNIT 114
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City | ASHEVILLE
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State | NC
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Zip | 28803-2494
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Country | US
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Telephone | 828-651-0333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JACQUELINE BAKER
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Credential |
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Telephone | 828-676-1657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MHL-011-274
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | MHL-011-274
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License Number State | NC
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