# TLC LIVING

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

## Provider details

- **NPI number:** 1457885576
- **Authorized official:** LAVAR JEFFREY (OWNER)
- **Authorized official phone:** (215) 391-3429

## Contact information

- **Practice address:** 5756 N CAMAC ST, PHILADELPHIA, PA 19141-4108
- **Practice address phone:** (215) 391-3429
- **Mailing address:** 5756 N CAMAC ST, PHILADELPHIA, PA 19141-4108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2017
- **Last updated:** 04/14/2017
