Organization
TLC OF MI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO G. PANTOJA (CHIEF FINANCIAL OFFICER)
(615) 425-4200
Entity
Organization
Contact information
Practice address
8 CADILLAC DR, SUITE 250, BRENTWOOD, TN 37027-5087
(615) 425-4200
(615) 425-4271
Mailing address
8 CADILLAC DR, SUITE 250, BRENTWOOD, TN 37027-5087
(615) 425-4200
(615) 425-4271
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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