Provider Demographics
NPI:1336425214
Name:TLC HEALTH GROUP, LLC
Entity type:Organization
Organization Name:TLC HEALTH GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROMANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-908-6322
Mailing Address - Street 1:3454 OAK ALLEY COURT, SUITE 104
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606
Mailing Address - Country:US
Mailing Address - Phone:419-908-6322
Mailing Address - Fax:
Practice Address - Street 1:3454 OAK ALLEY COURT, SUITE 104
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606
Practice Address - Country:US
Practice Address - Phone:419-908-6322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health