Provider Demographics
NPI:1558519587
Name:T.C.C. GROUP INCORPORATED
Entity Type:Organization
Organization Name:T.C.C. GROUP INCORPORATED
Other - Org Name:E & J NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EVERTON
Authorized Official - Middle Name:URIAH
Authorized Official - Last Name:CHRISTIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-510-8165
Mailing Address - Street 1:4601 SIX FORKS RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5287
Mailing Address - Country:US
Mailing Address - Phone:919-510-8165
Mailing Address - Fax:919-571-8805
Practice Address - Street 1:4601 SIX FORKS RD
Practice Address - Street 2:SUITE 500
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5287
Practice Address - Country:US
Practice Address - Phone:919-510-8165
Practice Address - Fax:919-571-8805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNP3746251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNP3746OtherFACILITY ID: 080641 NURSING POOL