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Organization
TLC LIVING
Active
Organization
TLC LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVAR JEFFREY (OWNER)
(215) 391-3429
Entity
Organization
Contact information
Practice address
5756 N CAMAC ST, PHILADELPHIA, PA 19141-4108
(215) 391-3429
Mailing address
5756 N CAMAC ST, PHILADELPHIA, PA 19141-4108
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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