Provider Demographics
NPI:1669669362
Name:TENDER LOVING CARE NURSES, INC.
Entity Type:Organization
Organization Name:TENDER LOVING CARE NURSES, INC.
Other - Org Name:STAT STAFFING, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:KOCH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:856-667-6266
Mailing Address - Street 1:1223 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-3433
Mailing Address - Country:US
Mailing Address - Phone:856-667-6266
Mailing Address - Fax:856-667-8427
Practice Address - Street 1:1223 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-3433
Practice Address - Country:US
Practice Address - Phone:856-667-6266
Practice Address - Fax:856-667-8427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1787251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care