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Organization
TLC STAFF BUILDERS
Active
Organization
TLC STAFF BUILDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN WHITE (MANAGER)
(716) 886-7867
Entity
Organization
Contact information
Practice address
31 ROB ROY PKWY, GRAND ISLAND, NY 14072-1345
(716) 773-8017
Mailing address
31 ROB ROY PKWY, GRAND ISLAND, NY 14072-1345
(716) 773-8017
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
001757-1
NY
252Y00000X
Early Intervention Provider Agency
Primary
001757-1
NY
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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