# TLC PROFESSIONAL SUPPORT SERVICES, LLC

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

## Provider details

- **NPI number:** 1497154330
- **Authorized official:** MRS. LORI WILSON OWENS RN, BSN (MEMBER)
- **Authorized official phone:** (434) 799-3500

## Contact information

- **Practice address:** 2321 RIVERSIDE DR, SUITE 35, DANVILLE, VA 24540-4267
- **Practice address phone:** (434) 799-3500
- **Practice address fax:** (434) 799-3525
- **Mailing address:** 2321 RIVERSIDE DR, SUITE 35, DANVILLE, VA 24540-4267
- **Mailing address phone:** (434) 799-3500
- **Mailing address fax:** (434) 799-3525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | S5189933 | VA | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | S5189933 | VA | — |

## Other

- **Enumeration date:** 08/16/2014
- **Last updated:** 09/30/2014