Provider Demographics
NPI:1518385434
Name:TLC OPERATIONS,INC.
Entity Type:Organization
Organization Name:TLC OPERATIONS,INC.
Other - Org Name:TAMMY LYNN CENTER FOR DEVELOPMENTAL DISABILITIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-832-3909
Mailing Address - Street 1:739 CHAPPELL DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-3215
Mailing Address - Country:US
Mailing Address - Phone:919-832-3909
Mailing Address - Fax:919-863-2021
Practice Address - Street 1:739 CHAPPELL DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-3215
Practice Address - Country:US
Practice Address - Phone:919-832-3909
Practice Address - Fax:919-863-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-29
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMEDICAID T2013251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406504Medicaid
NCMEDICAID T2013OtherIN-HOME SKILL BUILDING - T2013