Organization
TLC AGENCIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS TAPEH (OWNER)
(651) 707-2675
Entity
Organization
Contact information
Practice address
5 TWISTING LANE, SICKLERVILLE, NJ 08081
(651) 707-2675
Mailing address
5 TWISTING LANE, SICKLERVILLE, NJ 08081
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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