Tlc Providers INC
NPI #1417251638 in Panama City Beach, Florida
Provider Information
- NPI Number
- 1417251638
- Entity Type
- Organization
- Organization Name
- Tlc Providers INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 3, 2011
- Last Updated
- Jan 3, 2011
Practice Location
- Address
- 8317 FRONT BEACH RD
- Address 2
- SUITE 29A1
- State
- Florida
- ZIP Code
- 32407-4885
- Phone
- (850) 236-0073
Authorized Official
- Name
- MR. TERRY WAYNE BOOKER
- Title
- OWNER/OPERATOR
- Phone
- (850) 236-0073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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