Organization
TLC COMPANIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN KORNACKI (MANAGING DIRECTOR)
(231) 942-3705
Entity
Organization
Contact information
Practice address
1407 LEESON AVE, CADILLAC, MI 49601-9098
(231) 942-3705
Mailing address
1407 LEESON AVE, CADILLAC, MI 49601-9098
(231) 942-3705
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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