Organization Name: | 24/7 TLC |
NPI Number: | 1356763783 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARLENE JOCOVELLI (PRESIDENT) |
Mailing Address: | 11131 Journal Pkwy King George |
State: | VA US |
Postal Code: | 224853468 |
Phone Number: | 5406252148 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2014 |
NPI Last Update Date: | 03/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |