Provider Demographics
NPI:1982781381
Name:T.L.C. ADULT DAY CARE CENTERS, INC.
Entity Type:Organization
Organization Name:T.L.C. ADULT DAY CARE CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN PROGRAMMER
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-412-0220
Mailing Address - Street 1:1805 BELL ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8208
Mailing Address - Country:US
Mailing Address - Phone:956-412-0220
Mailing Address - Fax:956-425-6950
Practice Address - Street 1:4410 DILLON LN STE 51
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415
Practice Address - Country:US
Practice Address - Phone:361-855-6491
Practice Address - Fax:361-855-8130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118106261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000324100Medicaid