Provider Demographics
NPI:1043410715
Name:TLCBYD&J
Entity Type:Organization
Organization Name:TLCBYD&J
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:PARKER
Authorized Official - Last Name:HOUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-245-1313
Mailing Address - Street 1:1206 KECOUGHTAN RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON RD
Mailing Address - State:VA
Mailing Address - Zip Code:23661
Mailing Address - Country:US
Mailing Address - Phone:757-245-1313
Mailing Address - Fax:757-240-4117
Practice Address - Street 1:6 MIMOSA CRES
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23661-2326
Practice Address - Country:US
Practice Address - Phone:757-329-9497
Practice Address - Fax:757-240-4117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health