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NPI Code Detail

MEDICARE: TLC/TRANSITIONAL LIVING COMMUNITIES

MEDICARE: TLC/TRANSITIONAL LIVING COMMUNITIES
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
1251S00000XCommunity/Behavioral Health AgencyBH-3987AZ

General Provider Information

NPI Number : 1417223017
Entity Type Code : Organization
Provider Name (Legal Business Name) : TLC/TRANSITIONAL LIVING COMMUNITIES
Provider Business Mailing Address
First Line : 32 S. MACDONALD STREET
Second Line :
City : MESA
State : AZ
Zip : 85210-1310
Country : US
Telephone Number : 480-833-0143
Fax Number : 480-833-4266
Provider Business Practice Location Address
First Line : 32 S. MACDONALD STREET
Second Line :
City : MESA
State : AZ
Zip : 85210-1310
Country : US
Telephone Number : 480-833-0143
Fax Number : 480-833-4266
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. JOHN RAYMOND SCHWARY
Credential : MS, CADAC
Telephone Number : 602-763-2138
Provider Enumeration Date : 03/28/2012
Last Update Date : 03/28/2012

Similar Medicare Providers

1053789818 — RANDALL BRASMER
Practice Location Address:
32 S MACDONALD
MESA, AZ
85210-1310
Practice Phone: 480-969-1471
Practice Fax: 480-264-0687
1992079610 — MR. JOHN RAYMOND SCHWARY CADAC
Practice Location Address:
32 S MACDONALD
MESA, AZ
85210-1310
Practice Phone: 602-763-2138
Practice Fax:
1518231117 — MR. ROCKIE LEE SUTTLE LEVEL 1 COUNSELOR
Practice Location Address:
32 S MACDONALD
MESA, AZ
85210-1310
Practice Phone: 480-833-0143
Practice Fax:
1508293291 — LINDA S. DOMIANO L.I.S.A.C.
Practice Location Address:
32 S MACDONALD
MESA, AZ
85210-1310
Practice Phone: 480-969-1471
Practice Fax: 480-264-0687
1922426956 — HOLISTIC MEDICAL GROUP
Practice Location Address:
32 S MACDONALD
MESA, AZ
85210-1310
Practice Phone: 480-969-1472
Practice Fax: 480-269-9426
1265841027 — MISS MARY CATHERINE ONEIL LPC
Practice Location Address:
32 S MACDONALD , SUITES AAND B
MESA, AZ
85210-1310
Practice Phone: 480-969-1471
Practice Fax: 480-264-0687

Directions to “TLC/TRANSITIONAL LIVING COMMUNITIES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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