NPI 1124356258
Tennessee Community Services Agency
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
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.