Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · Humboldt, TN

NPI number 1821148081 Active

Practice location

149 North 12th Street
Humboldt, TN 38343

Fax (731) 784-1726

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

Public Health or Welfare Agency: Definition to come...

About NPI 1821148081

State of Tennessee's National Provider Identifier is 1821148081, issued on Jan 11, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Humboldt, TN. The record was last updated on Aug 25, 2010.