# TENDER LOVING CARE SERVICES CORP

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

## Provider details

- **NPI number:** 1467744169
- **Authorized official:** STACI RICHARDSON (DIRECTOR)
- **Authorized official phone:** (850) 223-1936

## Contact information

- **Practice address:** 115 W GREEN ST, SUITE 204, PERRY, FL 32347-3226
- **Practice address phone:** (850) 223-1936
- **Mailing address:** 115 W GREEN ST, SUITE 204, PERRY, FL 32347-3226
- **Mailing address phone:** (850) 223-1936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 14815 | FL | Yes |

## Other

- **Enumeration date:** 05/12/2011
- **Last updated:** 05/12/2011