Provider Demographics
NPI:1801331921
Name:TLC SKILLED CARE INC.
Entity type:Organization
Organization Name:TLC SKILLED CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ-UPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-674-3777
Mailing Address - Street 1:15655 75TH WAY N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33418-1851
Mailing Address - Country:US
Mailing Address - Phone:561-674-3777
Mailing Address - Fax:
Practice Address - Street 1:15655 75TH WAY N
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33418-1851
Practice Address - Country:US
Practice Address - Phone:561-674-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty