Organization
TLC HEALTH CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRUDY LYNN COLEMAN RN (OWNER)
(337) 334-0444
Entity
Organization
Contact information
Practice address
205 E EDWARDS ST, RAYNE, LA 70578-6515
(337) 334-0444
(337) 334-1004
Mailing address
PO BOX 808, RAYNE, LA 70578-0808
(337) 334-0444
(337) 334-1004
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
6704
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523798
—
LA
Enumeration date
11/28/2006
Last updated
08/22/2020
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