Organization
TLC YOUR WAY HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NATALIA KAWANNA FEELY R.N. (PRESIDENT)
(803) 810-2060
Entity
Organization
Contact information
Practice address
4381 CHARLOTTE HWY, SUITE 102, LAKE WYLIE, SC 29710-6535
(803) 810-2060
Mailing address
6013 SHAMROCK GREEN DR, CLOVER, SC 29710-6921
(803) 810-2060
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0023
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0943
—
SC
Enumeration date
02/09/2016
Last updated
02/09/2016
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