Organization
KAREN CLARKE DBA TLC ADULT GROUP HOME
Active
Other names
TLC Adult Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN DENISE CLARKE (OWNER)
(252) 426-3496
Entity
Organization
Contact information
Practice address
210 SOUNDWARD LN, HERTFORD, NC 27944-9749
(252) 813-5557
Mailing address
210 SOUNDWARD LN, HERTFORD, NC 27944-9749
(252) 813-5557
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
MHL-072-008
NC
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-072-008
MENTAL HEALTH STATE LICENSE NUMBER
NC
Enumeration date
10/05/2009
Last updated
12/15/2023
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