NPI 1629184957
Coram Alternate Site Services INC
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
Home Health Agency
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.