Provider Demographics
NPI:1750917316
Name:TLC MOBILE HEALTH LLC
Entity type:Organization
Organization Name:TLC MOBILE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOAQUIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-488-0170
Mailing Address - Street 1:PO BOX 1099
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07602-1099
Mailing Address - Country:US
Mailing Address - Phone:201-488-0170
Mailing Address - Fax:201-488-0172
Practice Address - Street 1:214 STATE ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5500
Practice Address - Country:US
Practice Address - Phone:201-488-0170
Practice Address - Fax:201-488-0172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)