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Organization

TENDER LOVING CARE HOME CARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FELISA ANN DUDLEY (ADMINISTRATOR)
(678) 625-7166
Entity
Organization

Contact information

Practice address
8218 HAZELBRAND RD NE, SUITE B, COVINGTON, GA 30014-1502
(706) 468-5151
(678) 625-7167
Mailing address
8218 HAZELBRAND RD NE, SUITE B, COVINGTON, GA 30014-1502
(706) 468-5151
(678) 625-7167

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
079-R-0001
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
960910942A
GA
05
960910942C
GA
Enumeration date
04/02/2007
Last updated
07/10/2009
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