Organization Name: | STATE OF TENNESSEE |
NPI Number: | 1881749794 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN VENABLE (COUNTY DIRECTOR 3) |
Mailing Address: | 247 Silver Lake Rd Church Hill |
State: | TN US |
Postal Code: | 376423516 |
Phone Number: | 4233575341 |
Fax Number: | 4233572231 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 08/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |