Organization
TLC OPERATIONS, INC.
Active
Other names
Tammy Lynn Center for Developmental Disabilities
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY RICHARD (PRESIDENT / CEO)
(919) 832-3909
Entity
Organization
Contact information
Practice address
743 CHAPPELL DRIVE, RALEIGH, NC 27606-3215
(919) 832-3909
(919) 863-2021
Mailing address
743 CHAPPELL DRIVE, RALEIGH, NC 27606-3215
(919) 832-3909
(919) 863-2021
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-092-011
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
ICF/DD MHL-092-011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406335
—
NC
Enumeration date
04/03/2014
Last updated
04/23/2014
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