Provider Demographics
NPI:1306388103
Name:A LOT OF EXTRA TLC, LLC
Entity Type:Organization
Organization Name:A LOT OF EXTRA TLC, LLC
Other - Org Name:VISITING ANGELS SPOKANE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-922-1141
Mailing Address - Street 1:708 N ARGONNE RD STE 8A
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2700
Mailing Address - Country:US
Mailing Address - Phone:509-922-1141
Mailing Address - Fax:509-922-1894
Practice Address - Street 1:708 N ARGONNE RD STE 8A
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2700
Practice Address - Country:US
Practice Address - Phone:509-922-1141
Practice Address - Fax:509-922-1894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.60686247253Z00000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle