Provider Demographics
NPI:1629279559
Name:THE HOUSE OF TENDER LOVING CARE
Entity Type:Organization
Organization Name:THE HOUSE OF TENDER LOVING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. ADMIN.
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:MATRELLE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-223-1212
Mailing Address - Street 1:817 FALL WHEAT DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-6071
Mailing Address - Country:US
Mailing Address - Phone:972-223-1212
Mailing Address - Fax:972-230-2256
Practice Address - Street 1:817 FALL WHEAT DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-6071
Practice Address - Country:US
Practice Address - Phone:972-223-1212
Practice Address - Fax:972-230-2256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1190543104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness