A Home With Tlc LLC
Custodial Care Facility, Adult Care Home in Orlando, FL. Organization (NPI-2).
NPI number1144743733
StatusActive
Last updated in NPPESSep 29, 2020
Details
- NPI
- 1144743733
- Entity type
- Organization (NPI-2)
- Legal business name
- A Home With Tlc LLC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2017
- Certification date
- Sep 29, 2020
- Last updated
- Sep 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
4116 Lenox BlvdOrlando, FL 32811-4134
Phone 407-276-0189
Mailing address
4116 Lenox BlvdOrlando, FL 32811-4134
Phone 407-276-0189
Authorized official
Johnetha Berry
Owner
4072760189
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