Organization
TRANSITIONAL LIFESTYLES COMMUNITY INC.
Active
Other names
TLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY LINN MOSLEY (VICE PRESIDENT)
(505) 262-4230
Entity
Organization
Contact information
Practice address
11000 SPAIN RD NE, BLDING D, ALBUQUERQUE, NM 87111-1883
(505) 262-4230
(505) 254-4664
Mailing address
11000 SPAIN RD NE, BLDING D, ALBUQUERQUE, NM 87111-1883
(505) 262-4230
(505) 254-4664
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D-3235
—
NM
Enumeration date
05/28/2006
Last updated
08/22/2020
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