Provider Demographics
NPI:1659566123
Name:TLC SENIOR CARE LLC
Entity Type:Organization
Organization Name:TLC SENIOR CARE LLC
Other - Org Name:COMFORT KEEPERS # 493
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:BSPA
Authorized Official - Phone:407-814-7070
Mailing Address - Street 1:380 SEMORAN COMMERCE PL
Mailing Address - Street 2:STE 201B
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-4654
Mailing Address - Country:US
Mailing Address - Phone:407-814-7070
Mailing Address - Fax:407-814-7072
Practice Address - Street 1:380 SEMORAN COMMERCE PL
Practice Address - Street 2:STE 201B
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4654
Practice Address - Country:US
Practice Address - Phone:407-814-7070
Practice Address - Fax:407-814-7072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health