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Organization
TLC ROOM AND BOARD
Active
Organization
TLC ROOM AND BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY D PHILLIPS NURSE/OWNER (OWNER)
(661) 317-3401
Entity
Organization
Contact information
Practice address
38733 9TH ST E STE O, PALMDALE, CA 93550-2910
(661) 317-3401
Mailing address
38059 RICHEVILLE ST, PALMDALE, CA 93552-3516
(661) 317-3401
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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