Organization
TLC HEALTHCARE
Active
Other names
Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATISHA JANEE CRATE (HEALTHCARE)
(636) 253-6503
Entity
Organization
Contact information
Practice address
5421 VERNON AVE, SAINT LOUIS, MO 63112-3313
(636) 523-6503
Mailing address
5421 VERNON AVE, SAINT LOUIS, MO 63112-3313
(636) 523-6503
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
27156000
MO
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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