| Organization Name: | TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, LLC |
| NPI Number: | 1215976436 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL B KUSSEROW (PRESIDENT) |
| Mailing Address: | 3320 Us 1 Hwy Suite B Franklinton |
| State: | NC US |
| Postal Code: | 275258439 |
| Phone Number: | 9194943773 |
| Fax Number: | 9192494258 |
| NPI Enumeration Date: | 06/05/2006 |
| NPI Last Update Date: | 03/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HOS3147 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |