Organization · Type 2 NPI
State of Tennessee
Public Health or Welfare Agency · Henderson, TN
NPI number
1184774358
Active
Practice location
301 Quinco Drive
Henderson, TN 38340
Fax (731) 989-9686
Mailing address
PO Box 323, 301 Quinco Drive
Henderson, TN 38340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
About NPI 1184774358
State of Tennessee's National Provider Identifier is 1184774358, issued on Jan 11, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Henderson, TN. The record was last updated on Apr 23, 2010.