Organization
LINDA L. WANAMAKER PTR
Active
Other names
Tender Loving Care Medical or TLC Medical
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA L WANAMAKER (PARTNER)
(419) 562-8777
Entity
Organization
Contact information
Practice address
124 S SANDUSKY AVE, BUCYRUS, OH 44820-2219
(419) 562-8777
(419) 562-0921
Mailing address
124 S SANDUSKY AVE, BUCYRUS, OH 44820-2219
(419) 562-8777
(419) 562-0921
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
OH21452
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000302697
ANTHEM BLUE CROSS
OH
Enumeration date
09/02/2005
Last updated
12/05/2008
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