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NPI Code Detail

MEDICARE: TLC YOUR WAY HOME CARE SERVICES, INC.

MEDICARE: TLC YOUR WAY HOME 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
1253Z00000XIn Home Supportive Care AgencyIHCP-0023SC

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 : 1942668611
Entity Type Code : Organization
Provider Name (Legal Business Name) : TLC YOUR WAY HOME CARE SERVICES, INC.
Provider Business Mailing Address
First Line : 6013 SHAMROCK GREEN DR
Second Line :
City : CLOVER
State : SC
Zip : 29710-6921
Country : US
Telephone Number : 803-810-2060
Fax Number :
Provider Business Practice Location Address
First Line : 4381 CHARLOTTE HWY
Second Line : SUITE 102
City : LAKE WYLIE
State : SC
Zip : 29710-6535
Country : US
Telephone Number : 803-810-2060
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MISS NATALIA KAWANNA FEELY
Credential : R.N.
Telephone Number : 803-810-2060
Provider Enumeration Date : 02/09/2016
Last Update Date : 02/09/2016

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Directions to “TLC YOUR WAY HOME CARE SERVICES, INC. ” Practice Location

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