Provider Demographics
NPI:1366093080
Name:T L C AGENCY INC
Entity type:Organization
Organization Name:T L C AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-234-6180
Mailing Address - Street 1:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:CLARENDON
Mailing Address - State:NC
Mailing Address - Zip Code:28432-0033
Mailing Address - Country:US
Mailing Address - Phone:910-234-6180
Mailing Address - Fax:910-641-0001
Practice Address - Street 1:241 W COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-4025
Practice Address - Country:US
Practice Address - Phone:910-234-6180
Practice Address - Fax:910-641-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care