Organization
TENDER LOVING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEARLIE CARTER (DIRECTOR)
(662) 846-1115
Entity
Organization
Contact information
Practice address
714 1ST STREET, CLEVELAND, MS 38732
(662) 846-1115
(662) 843-4550
Mailing address
POST OFFICE BOX 893, CLEVELAND, MS 38732
(662) 846-1115
(662) 843-4550
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
04130501
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04130501
—
MS
Enumeration date
12/24/2007
Last updated
07/15/2008
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