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Organization

FELICIA R. LEWIS

Active
Other names
TLC PERSONAL CARE PROVIDERS
Organization subpart
No

Provider details

NPI number
Authorized official
MS. FELICIA RENA LEWIS LVN (CEO)
(832) 283-6912
Entity
Organization

Contact information

Practice address
811 DERBY LN, SUITE 200, MISSOURI CITY, TX 77489-3259
(832) 283-6912
(281) 416-0114
Mailing address
811 DERBY LN, SUITE 200, MISSOURI CITY, TX 77489-3259
(832) 283-6912
(281) 416-0114

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
178323
TX
251J00000X
Nursing Care Agency
178323
TX
347C00000X
Private Vehicle
12791971
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
626197482
DUNS
TX
Enumeration date
09/04/2007
Last updated
12/14/2009
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