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Organization
TLC HOMES LLC
Active
Organization
TLC HOMES LLC
Active
Other names
Atherton House
Organization subpart
No
Provider details
NPI number
Authorized official
CARYN GRACE T FACUNLA (PROGRAM DIRECTOR)
(510) 305-3956
Entity
Organization
Contact information
Practice address
94 ATHERTON CIR, PITTSBURG, CA 94565-4708
(925) 427-0877
(925) 822-3778
Mailing address
3350 CLAYTON RD STE 101, CONCORD, CA 94519-2837
(925) 446-4431
(925) 822-3778
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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