Provider Demographics
NPI:1932320652
Name:TLC ADULT DAY CARE CENTERS, INC.
Entity Type:Organization
Organization Name:TLC ADULT DAY CARE CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-412-0220
Mailing Address - Street 1:1805 BELL ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8208
Mailing Address - Country:US
Mailing Address - Phone:956-412-0220
Mailing Address - Fax:956-440-0754
Practice Address - Street 1:285 KINGS HWY
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4281
Practice Address - Country:US
Practice Address - Phone:956-412-0220
Practice Address - Fax:956-428-2707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118718261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000303900Medicaid