NPI 1154786622

Country Escape Therapy

Organisation Health Maintenance Organization New Johnsonville, TN

Practice location

Address: 501 Flatwood Rd, New Johnsonville, TN 37134-2159
Phone: (931) 622-7243

Authorised official

Name: Terri Lynn Crum
Title: Owner
Phone: (931) 622-7243

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 6490 (TN)

Other Health Maintenance Organization providers in Tennessee →

Registry record

NPI: 1154786622
Entity type: Organization
NPI issued: 28 Dec 2015
Record last updated: 12 Jan 2016

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.