# TENDER LIVING CARE, LLC

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

## Provider details

- **NPI number:** 1992454029
- **Authorized official:** MISS TANYELLE LATOYA ROLLINSON (MANAGING MEMBER)
- **Authorized official phone:** (980) 349-6489

## Contact information

- **Practice address:** 2493 GLYNCASTLE WAY, GASTONIA, NC 28056-7511
- **Practice address phone:** (980) 349-6489
- **Mailing address:** 3340 ROBINWOOD RD STE 100-412, GASTONIA, NC 28054-6689
- **Mailing address phone:** (980) 349-6489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2022
- **Last updated:** 03/23/2022