Tlc Providers Inc

LBN: Tlc Providers Inc
Tlc Providers Inc is an health care organization with primary practice located at 8317 Front Beach Rd Suite 29A1, Panama City Beach FL 32407-4885. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Tlc Providers Inc can be contacted via phone (850) 236-0073, or through Booker, Terry Wayne via phone (850) 236-0073.

Contact Information

Primary practice address
8317 Front Beach Rd Suite 29A1 Panama City Beach FL 32407-4885
Phone: (850) 236-0073
Fax: (850) 236-0403
Website:
Map and Directions
Authorized official contact:
Name: Booker, Terry Wayne
Phone: (850) 236-0073

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Florida

Profile Details

NPI number 1417251638
LBN Legal business name Tlc Providers Inc
DBA Doing business as
Authorized official Booker, Terry Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2011
Last updated Jan 3rd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417251638 NPPES
Florida MEDICAID 679970198
Florida MEDICAID 679970196

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