# TLC PRIVATE HOME CARE INC

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

## Provider details

- **NPI number:** 1336892629
- **Authorized official:** ANJOLI FISHER (MEDICAL BILLER)
- **Authorized official phone:** (781) 540-1269

## Contact information

- **Practice address:** 25 MAIN ST, BUZZARDS BAY, MA 02532-3106
- **Practice address phone:** (508) 383-3956
- **Mailing address:** 25 MAIN ST, BUZZARDS BAY, MA 02532-3106
- **Mailing address phone:** (508) 383-3956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | NULL | — |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 01/27/2022
- **Last updated:** 01/27/2022