Individual provider · Type 1 NPI
Michelle Renee Bolling
Adult Day Care Clinic/Center · Kingsport, TN
NPI number
1003646449
Active
Practice location
4260 Fort Henry Dr Ste 18
Kingsport, TN 37663-2248
Mailing address
4009 Lake Forest Dr
Kingsport, TN 37663-3773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1003646449
Michelle Renee Bolling's National Provider Identifier is 1003646449, issued on Aug 1, 2024. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Kingsport, TN. The record was last updated on Aug 19, 2024.