Whalio Doctors

NPI 1124356258

Tennessee Community Services Agency

Organisation In Home Supportive Care Agency Jackson, TN

Practice location

Address
6 Stonebridge Blvd STE G, Jackson, TN 38305-2166
Phone
(731) 984-9030
Fax
(731) 664-4623
Mailing address
PO Box 368 1604 West Reelfoot Avenue, Union City, TN 38281-0368

Authorised official

Name
Thomas D McWherter
Title
Executive Director
Phone
(731) 884-2630

Registered specialties

In Home Supportive Care Agency Primary
Agencies Taxonomy 253Z00000X Licence 10000000004532 (TN)

Registry record

NPI
1124356258
Entity type
Organization
NPI issued
1 Dec 2009
Record last updated
1 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.