Organization
TLCHOMECARE LLC
Active
Other names
Shasta Smith, tlc homecare llc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHASTA LATISHA SMITH (OWNER)
(313) 247-2707
Entity
Organization
Contact information
Practice address
37469 CHARTER OAKS BLVD, CLINTON TWP, MI 48036-2415
(313) 247-2707
Mailing address
37469 CHARTER OAKS BLVD, CLINTON TWP, MI 48036-2415
(313) 247-2707
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
4703115854
MI
251E00000X
Home Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273601772
—
MI
Enumeration date
02/07/2018
Last updated
04/02/2024
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