Organization
TENDER LIVING CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TANYELLE LATOYA ROLLINSON (MANAGING MEMBER)
(980) 349-6489
Entity
Organization
Contact information
Practice address
2493 GLYNCASTLE WAY, GASTONIA, NC 28056-7511
(980) 349-6489
Mailing address
3340 ROBINWOOD RD STE 100-412, GASTONIA, NC 28054-6689
(980) 349-6489
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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