Provider Demographics
NPI:1689175010
Name:TLC COMPANIONS OF TRINITY
Entity Type:Organization
Organization Name:TLC COMPANIONS OF TRINITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-312-4429
Mailing Address - Street 1:1805 CYPRESS BROOK DR
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4417
Mailing Address - Country:US
Mailing Address - Phone:727-312-4429
Mailing Address - Fax:727-312-3745
Practice Address - Street 1:1805 CYPRESS BROOK DR
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-4417
Practice Address - Country:US
Practice Address - Phone:727-312-4429
Practice Address - Fax:727-312-3745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL235048251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health