Organization
TLC HEALTH NETWORK
Active
Other names
TLC Health Network Long Term Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E WILD MD (MEDICAL DIRECTOR)
(716) 951-7273
Entity
Organization
Contact information
Practice address
12644 SENECA ROAD, IRVING, NY 14081
(716) 375-6490
(716) 951-7168
Mailing address
12644 SENECA ROAD, IRVING, NY 14081
(716) 375-6490
(716) 375-7479
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00347544
—
NY
Enumeration date
03/07/2007
Last updated
05/16/2019
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