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General NPI Number Information
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NPI Number | 1629018999
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Entity Type | Organization
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Legal Business Name | TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, LLC
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 8245 TOURNAMENT DR SUITE 255
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City | MEMPHIS
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State | TN
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Zip | 38125-8898
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Country | US
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Telephone | 901-748-9121
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Fax | 901-748-9125
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Provider Business Mailing Address
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Address Line | 8245 TOURNAMENT DR STE 255
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City | MEMPHIS
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State | TN
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Zip | 38125-8873
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Country | US
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Telephone | 901-748-9121
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Fax | 901-748-9125
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Authorized Official
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Title or Position | SECRETARY
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Name | AMBER L TUELLER
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Credential |
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Telephone | 208-207-2726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0000000239
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License Number State | TN
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