NPI 1609327246

Ld&h Specialized Care Services

Organisation Preferred Provider Organization Ripley, TN

Practice location

Address: 2260 Us-51 Helen R Tucker Adult Dev Center, Ripley, TN 38063
Phone: (731) 602-9512
Fax: (731) 635-3499
Mailing address: 2260 Us-51, Ripley, TN 38063

Authorised official

Name: Lisa Desiree Harding
Title: Health Administrator
Phone: (731) 602-9512

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1000000018834 (TN)

Other Preferred Provider Organization providers in Tennessee →

Registry record

NPI: 1609327246
Entity type: Organization
NPI issued: 19 Oct 2016
Record last updated: 19 Oct 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.