Organization
TEMPORARY LIVING CENTER
Active
Organization
TEMPORARY LIVING CENTER
Active
Other names
TLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUE LEE ROBINSON-RICHARD (EXECUTIVE DIRECTOR)
(337) 303-3536
Entity
Organization
Contact information
Practice address
7170 BRYANT LAKE DR, EDEN PRAIRIE, MN 55344-3502
(952) 942-6400
Mailing address
7170 BRYANT LAKE DR, EDEN PRAIRIE, MN 55344-3502
(952) 942-6400
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
1010423
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2719550000
MN ITS
MN
Enumeration date
05/15/2008
Last updated
05/15/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up