Provider Demographics
NPI:1912508722
Name:TLC HEALTHCARE LLC
Entity Type:Organization
Organization Name:TLC HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MESCHER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:319-251-0267
Mailing Address - Street 1:202 N MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:IA
Mailing Address - Zip Code:52310-1746
Mailing Address - Country:US
Mailing Address - Phone:319-251-0267
Mailing Address - Fax:
Practice Address - Street 1:202 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:IA
Practice Address - Zip Code:52310-1746
Practice Address - Country:US
Practice Address - Phone:319-251-0267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty