Provider Demographics
NPI:1093020596
Name:TAL SERVICES, LLC
Entity Type:Organization
Organization Name:TAL SERVICES, LLC
Other - Org Name:ASHLEY'S FAMILY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WATLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-580-0550
Mailing Address - Street 1:220 HALL AVENUE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-2312
Mailing Address - Country:US
Mailing Address - Phone:336-580-0550
Mailing Address - Fax:
Practice Address - Street 1:220 HALL AVENUE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-2312
Practice Address - Country:US
Practice Address - Phone:336-580-0550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL001127310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility