Whalio Doctors

NPI 1154575025

Progressive Families

Organisation Case Management Agency Madison, TN

Practice location

Address
528 Thomas Jefferson Cir, Madison, TN 37115-2162
Phone
(615) 579-5310
Fax
(615) 868-4048

Authorised official

Name
Latarra Ballard
Title
Owner
Phone
(615) 584-3098

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X Licence 123009 (TN)

Registry record

NPI
1154575025
Entity type
Organization
NPI issued
5 Nov 2008
Record last updated
5 Nov 2008

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.