Provider Demographics
NPI:1639489404
Name:TENDER LOVING CARE SOLUTIONS, L.L.C
Entity Type:Organization
Organization Name:TENDER LOVING CARE SOLUTIONS, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:CARNELL
Authorized Official - Last Name:BONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:478-285-4732
Mailing Address - Street 1:110 ELSA WAY
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:GA
Mailing Address - Zip Code:31008-3401
Mailing Address - Country:US
Mailing Address - Phone:478-285-4732
Mailing Address - Fax:
Practice Address - Street 1:110 ELSA WAY
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:GA
Practice Address - Zip Code:31008-3401
Practice Address - Country:US
Practice Address - Phone:478-285-4732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA200217071386311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility