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NPI Code Detail

MEDICARE: TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, L.L.C

MEDICARE: TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, L.L.C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295980498
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, L.L.C
Provider Business Mailing Address
First Line : 5959 S SHERWOOD FOREST BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-6038
Country : US
Telephone Number : 225-292-2031
Fax Number : 225-295-9678
Provider Business Practice Location Address
First Line : 1540 BREEZEPORT WAY
Second Line : SUITE 600
City : SUFFOLK
State : VA
Zip : 23435-3752
Country : US
Telephone Number : 757-483-8914
Fax Number : 757-484-3723
Authorized Official
Title or Position : PRESIDENT
Name : WILLIAM F BORNE
Credential :
Telephone Number : 225-292-2031
Provider Enumeration Date : 12/02/2008
Last Update Date : 05/04/2010

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Practice Fax:
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Directions to “TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, L.L.C ” Practice Location

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