Organization
TLC ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARNIECE WILLIAMS (CEO/EXECUTIVE DIRECTOR)
(314) 320-5995
Entity
Organization
Contact information
Practice address
210 BRAESHIRE DR APT F, BALLWIN, MO 63021-5674
(314) 320-5995
Mailing address
210 BRAESHIRE DR APT F, BALLWIN, MO 63021-5674
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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