Whalio Doctors

NPI 1629184957

Coram Alternate Site Services INC

Organisation Home Infusion Agency Bartlett, TN

Practice location

Address
8370 Wolf Lake Dr STE 107, Bartlett, TN 38133-7108
Phone
(615) 630-9279
Mailing address
PO Box 809160, Chicago, IL 60680-9160

Authorised official

Name
Tricia Lacavich
Title
President
Phone
(314) 306-3255

Registered specialties (2)

Home Infusion Agency Primary
Agencies Taxonomy 251F00000X
Home Health Agency
Agencies Taxonomy 251E00000X

Registry record

NPI
1629184957
Entity type
Organization
NPI issued
21 Aug 2006
Record last updated
7 Mar 2023

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.