| Name: | TLC Healthcare Providers, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Oct 2023 (a year ago) (Companies founded in October 2023) |
| Entity Number: | 001-104-971 |
| Register Number: | 001104971 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 105 Vulcan Road Ste 221 PMB 1100Birmingham, AL 35209 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972376234 | 2023-10-30 | 2024-03-26 | 105 VULCAN ROAD STE 221 PMB 1100, BIRMINGHAM, AL, 35209, US | 105 VULCAN RD STE 221, BIRMINGHAM, AL, 352094701, US | |||||||||||||||||||||
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| Phone | +1 205-729-4465 |
| Phone | +1 205-378-8151 |
| Fax | 2055468519 |
Authorized person
| Name | TIFFANEE MOORE |
| Role | FNP-BC |
| Phone | 2053788151 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| Moore, Tiffanee R | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
