| NPI | 1164637419 |
|---|---|
| Doing Business As | TLC SPARANTBURG EAST |
| Entity Type | Organization |
| Authorized Contact | BRIAN L ANDREW Secretary 636-534-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |