Organization
TENDER LOVING CARE HEALTH CARE SERVICES OF LONG ISLAND, LLC
Active
Parent organization
TLC HEALTH CARE SERVICES, INC.
Other names
Staff Builders Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
TLC HEALTH CARE SERVICES, INC.
Authorized official
WILLARD T DERR (CFO)
(516) 358-1000
Entity
Organization
Contact information
Practice address
1721 A NORTH OCEAN AVE, MEDFORD, NY 11763
(631) 447-2020
Mailing address
1983 MARCUS AVE, SUITE 200, NEW HYDE PARK, NY 11042-1016
(516) 358-1000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1323L002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2640095
—
NY
05
—
2658217
—
NY
Enumeration date
02/23/2007
Last updated
07/19/2007
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