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Organization
TLC PROFESSIONAL SUPPORT SERVICES, LLC
Active
Organization
TLC PROFESSIONAL SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI WILSON OWENS RN, BSN (MEMBER)
(434) 799-3500
Entity
Organization
Contact information
Practice address
2321 RIVERSIDE DR, SUITE 35, DANVILLE, VA 24540-4267
(434) 799-3500
(434) 799-3525
Mailing address
2321 RIVERSIDE DR, SUITE 35, DANVILLE, VA 24540-4267
(434) 799-3500
(434) 799-3525
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
S5189933
VA
343900000X
Non-emergency Medical Transport (VAN)
S5189933
VA
Other
Enumeration date
08/16/2014
Last updated
09/30/2014
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