Provider Demographics
NPI:1104131903
Name:TENDER LOVE CHILD CARE CENTER INC.
Entity type:Organization
Organization Name:TENDER LOVE CHILD CARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:BEATRICE
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-747-9955
Mailing Address - Street 1:896 HWY 258 N
Mailing Address - Street 2:
Mailing Address - City:SNOW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28580-7302
Mailing Address - Country:US
Mailing Address - Phone:252-747-9955
Mailing Address - Fax:252-747-9966
Practice Address - Street 1:896 HWY 258 N
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:NC
Practice Address - Zip Code:28580-7302
Practice Address - Country:US
Practice Address - Phone:252-747-9955
Practice Address - Fax:252-747-9966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health