Organization
TLC ASSISTED LIVING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA JANE MANNON RN (OWNER/ADMINISTRATOR)
(606) 327-2701
Entity
Organization
Contact information
Practice address
1701 CENTRAL AVE, SUITE 334, ASHLAND, KY 41101-7767
(606) 327-2701
(606) 327-5606
Mailing address
1701 CENTRAL AVE, SUITE 334, ASHLAND, KY 41101-7767
(606) 327-2701
(606) 327-5606
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2629409
—
OH
Enumeration date
07/14/2006
Last updated
08/22/2020
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