Organization
TLC HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARYN FACUNLA (PROGRAM DIRECTOR)
(925) 446-4431
Entity
Organization
Contact information
Practice address
3515 FARM BUREAU COURT, CONCORD, CA 94519
(925) 671-9372
(925) 671-9372
Mailing address
3350 CLAYTON ROAD, SUITE 101, CONCORD, CA 94519-2840
(925) 446-4431
(925) 822-3778
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
VA0000683
CA
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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