Provider Demographics
NPI:1275722654
Name:TLCS MANAGEMENT LLC
Entity Type:Organization
Organization Name:TLCS MANAGEMENT LLC
Other - Org Name:ATLAS HEALTHCARE AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOURIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-310-2204
Mailing Address - Street 1:5505 BELLS FERRY RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-7528
Mailing Address - Country:US
Mailing Address - Phone:678-214-0100
Mailing Address - Fax:678-214-0124
Practice Address - Street 1:5505 BELLS FERRY RD
Practice Address - Street 2:SUITE 240
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30102-7528
Practice Address - Country:US
Practice Address - Phone:678-214-0100
Practice Address - Fax:678-214-0124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008064261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care