Organization
TLC OPERATIONS, INC.
Active
Other names
Tammy Lynn Center for Developmental Disabilities
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY RICHARD (PRESIDENT / CEO)
(919) 832-3909
Entity
Organization
Contact information
Practice address
739 CHAPPELL DR, RALEIGH, NC 27606-3215
(919) 832-3909
(919) 863-2021
Mailing address
739 CHAPPELL DR, RALEIGH, NC 27606-3215
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MEDICAID # H2025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H2025 SUPPORTED EMP.
—
NC
Enumeration date
03/29/2014
Last updated
03/29/2014
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