Provider Demographics
NPI:1295165736
Name:MCVEIGH'S TLC AFC
Entity type:Organization
Organization Name:MCVEIGH'S TLC AFC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCVEIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-875-4354
Mailing Address - Street 1:1015 S SAINT JOHNS ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:MI
Mailing Address - Zip Code:48847-1814
Mailing Address - Country:US
Mailing Address - Phone:989-875-4354
Mailing Address - Fax:989-875-4354
Practice Address - Street 1:1015 S SAINT JOHNS ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:MI
Practice Address - Zip Code:48847-1814
Practice Address - Country:US
Practice Address - Phone:989-875-4354
Practice Address - Fax:989-875-4354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency