NPI | 1801121140 |
---|---|
Doing Business As | TLC ADULT GROUP HOME |
Entity Type | Organization |
Authorized Contact | KAREN DENISE CLARKE Owner 252-426-3496 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC MHL-072-008) |
Enumeration Date | 2009-10-05 |
Last Update Date | 2023-12-15 |