Organization
TLC UNDERGROUND TRUCKING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARSHAONTE CAUSEY (OWNER)
(404) 216-5156
Entity
Organization
Contact information
Practice address
3863 HIGHWAY 138 SE UNIT 246, STOCKBRIDGE, GA 30281-4143
(404) 216-5156
Mailing address
904 STONE RDG, MCDONOUGH, GA 30252-5010
(404) 216-5156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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