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Organization

TLC ADULT CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD L SAXTON (MEMBER)
(816) 350-3142
Entity
Organization

Contact information

Practice address
16801 E GEORGE FRANKLIN DR, INDEPENDENCE, MO 64055-3820
(816) 350-3142
(816) 886-2436
Mailing address
16801 E GEORGE FRANKLIN DR, INDEPENDENCE, MO 64055-3820
(816) 350-3142
(816) 886-2436

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
WC1-0410-0212
MO

Other

Enumeration date
11/07/2012
Last updated
11/07/2012
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