NPI 1396025854

Blessed Assurance LLC.

Organisation Exclusive Provider Organization Walland, TN

Practice location

Address: 113 Hatcher Creek Ln, Walland, TN 37886-2608
Phone: (865) 809-5304
Fax: (865) 982-2210

Authorised official

Name: Amy Denise Wilson
Title: Owner
Phone: (865) 809-5304

Registered specialties (3)

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X

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Point of Service

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1396025854
Entity type: Organization
NPI issued: 27 Aug 2011
Record last updated: 27 Aug 2011

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.