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NPI Code Detail

MEDICARE: TLC HEALTH CARE SERVICES, INC.

MEDICARE: TLC HEALTH CARE SERVICES, INC.
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 Agency5268PCSNV

General Provider Information

NPI Number : 1538431358
Entity Type Code : Organization
Provider Name (Legal Business Name) : TLC HEALTH CARE SERVICES, INC.
Provider Business Mailing Address
First Line : 4535 W. SAHARA AVENUE
Second Line : 209
City : LAS VEGAS
State : NV
Zip : 89102-3710
Country : US
Telephone Number : 702-382-8335
Fax Number : 702-382-8927
Provider Business Practice Location Address
First Line : 4535 W SAHARA AVE
Second Line : 209
City : LAS VEGAS
State : NV
Zip : 89102-3625
Country : US
Telephone Number : 702-382-8335
Fax Number : 702-382-8927
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. DEBRA TONEY
Credential : PHD, RN
Telephone Number : 702-382-8335
Provider Enumeration Date : 02/09/2012
Last Update Date : 02/09/2012

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Directions to “TLC HEALTH CARE SERVICES, INC. ” Practice Location

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