Organization
TLC RESPITE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE BOWMAN (EXECUTIVE DIRECTOR)
(720) 315-5865
Entity
Organization
Contact information
Practice address
22310 QUAIL RUN WAY, PARKER, CO 80138-3119
(720) 315-5865
Mailing address
22310 QUAIL RUN WAY, PARKER, CO 80138-3119
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2235761
—
CO
Enumeration date
08/07/2017
Last updated
08/07/2017
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