# T.L.C. HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205975653
- **Authorized official:** MRS. NANCY ANN BORGE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 774-4355

## Contact information

- **Practice address:** 1775 HAWKINS AVE, SANFORD, NC 27330-6909
- **Practice address phone:** (919) 774-4355
- **Practice address fax:** (919) 775-4103
- **Mailing address:** 1775 HAWKINS AVE, SANFORD, NC 27330-6909
- **Mailing address phone:** (919) 774-4355
- **Mailing address fax:** (919) 775-4103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-053-008 | NC | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020