| NPI | 1134161573 |
|---|---|
| Former Legal Business Name | TLC MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | RAYMOND WOODROW BANKER President 225-278-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: LA 431) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-03-11 |