Provider Demographics
NPI:1427200286
Name:TLC MOBILITY LLC
Entity Type:Organization
Organization Name:TLC MOBILITY LLC
Other - Org Name:SILVER CROSS RALEIGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:YARSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-380-2101
Mailing Address - Street 1:251 DOMINION DR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7334
Mailing Address - Country:US
Mailing Address - Phone:919-380-2101
Mailing Address - Fax:919-380-2102
Practice Address - Street 1:251 DOMINION DR
Practice Address - Street 2:SUITE 114
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-7334
Practice Address - Country:US
Practice Address - Phone:919-380-2101
Practice Address - Fax:919-380-2102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies