Provider Demographics
NPI:1245759984
Name:TLC MEALS ON WHEELS
Entity Type:Organization
Organization Name:TLC MEALS ON WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLYMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-798-7642
Mailing Address - Street 1:PO BOX 3108
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80161-3108
Mailing Address - Country:US
Mailing Address - Phone:303-798-7642
Mailing Address - Fax:303-721-2921
Practice Address - Street 1:7300 S CLERMONT DR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2243
Practice Address - Country:US
Practice Address - Phone:303-798-7642
Practice Address - Fax:303-721-2921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals