NPI 1427418862

Antioch Health Care Corp

Organisation Preferred Provider Organization Antioch, TN

Practice location

Address: 522 Bell Rd Unit C, Antioch, TN 37013-2002
Phone: (615) 788-1047

Authorised official

Name: Mabel Keyenasoa Ekundayo
Title: Director
Phone: (615) 887-0309

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 645163 (TN)

Other Preferred Provider Organization providers in Tennessee →

Registry record

NPI: 1427418862
Entity type: Organization
NPI issued: 27 Feb 2016
Record last updated: 27 Feb 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.