Organization
TLC MEDICAL DAYCARE FOR ADULTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN C FISKE RN, C (PRESIDENT)
(603) 224-8171
Entity
Organization
Contact information
Practice address
211 LOUDON RD, SUITE H, CONCORD, NH 03301-6099
(603) 224-8171
(603) 224-8150
Mailing address
211 LOUDON RD, SUITE H, CONCORD, NH 03301-6099
(603) 224-8171
(603) 224-8150
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
02560
NH
311ZA0620X
Adult Care Home Facility
Primary
02560
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30011353
—
NH
05
—
30011500
—
NH
Enumeration date
04/06/2007
Last updated
09/21/2007
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