# TLC HOME NURSING AND THERAPY SERVICES, LLC

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

## Provider details

- **NPI number:** 1760763023
- **Authorized official:** MR. DEMPSEY DAVENPORT OWNER (OWNER)
- **Authorized official phone:** (580) 564-0000

## Contact information

- **Practice address:** 601 HWY 70 N, KINGSTON, OK 73439-8155
- **Practice address phone:** (580) 564-0000
- **Practice address fax:** (580) 564-0004
- **Mailing address:** 601 HWY 70 N, KINGSTON, OK 73439-8155
- **Mailing address phone:** (580) 564-0000
- **Mailing address fax:** (580) 564-0004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HC7972 | OK | Yes |

## Other

- **Enumeration date:** 08/31/2011
- **Last updated:** 09/16/2016