Provider Demographics
NPI:1578015566
Name:TLC PERSONAL CARE HEALTH SERVICES
Entity type:Organization
Organization Name:TLC PERSONAL CARE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SURRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-206-2324
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:BARNARDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28709-0087
Mailing Address - Country:US
Mailing Address - Phone:828-206-2324
Mailing Address - Fax:828-412-5094
Practice Address - Street 1:10 MINT LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-7450
Practice Address - Country:US
Practice Address - Phone:828-774-5800
Practice Address - Fax:828-412-5094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-011-362310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility