Provider Demographics
NPI:1881725042
Name:TLC 4-U INC
Entity type:Organization
Organization Name:TLC 4-U INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATORVIPSECRATERY
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-266-4453
Mailing Address - Street 1:114 N SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:MT
Mailing Address - Zip Code:59644-2212
Mailing Address - Country:US
Mailing Address - Phone:406-266-4453
Mailing Address - Fax:406-266-5124
Practice Address - Street 1:114 N SPRUCE ST
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:MT
Practice Address - Zip Code:59644-2212
Practice Address - Country:US
Practice Address - Phone:406-266-4453
Practice Address - Fax:406-266-5124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care