Organization
TLC HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY GAIL BRATCHER NURSE (ADMINISTRATOR/OWNER)
(575) 885-9199
Entity
Organization
Contact information
Practice address
320 W MERMOD ST, CARLSBAD, NM 88220-5731
(575) 885-9199
(575) 628-0029
Mailing address
320 W MERMOD ST, CARLSBAD, NM 88220-5731
(575) 885-9199
(575) 628-0029
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39521389
—
NM
Enumeration date
09/21/2021
Last updated
09/21/2021
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