Provider Demographics
NPI:1255574380
Name:TLC SENIOR CARE, INC.
Entity type:Organization
Organization Name:TLC SENIOR CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRLICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-629-0509
Mailing Address - Street 1:781 LOOP 337
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3632
Mailing Address - Country:US
Mailing Address - Phone:830-629-0509
Mailing Address - Fax:830-629-0832
Practice Address - Street 1:781 LOOP 337
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3632
Practice Address - Country:US
Practice Address - Phone:830-629-0509
Practice Address - Fax:830-629-0832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009707253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009707OtherPAS LICENSE