Provider Demographics
NPI:1487290672
Name:TLC PALLIATIVE CARE LLC
Entity type:Organization
Organization Name:TLC PALLIATIVE CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA RACHEL
Authorized Official - Middle Name:BROZAS
Authorized Official - Last Name:MANLAPAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-788-6266
Mailing Address - Street 1:14545 FRIAR ST STE 152
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2397
Mailing Address - Country:US
Mailing Address - Phone:747-900-8414
Mailing Address - Fax:
Practice Address - Street 1:14545 FRIAR ST STE 152
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2397
Practice Address - Country:US
Practice Address - Phone:747-900-8414
Practice Address - Fax:818-387-8947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based