NPI 1639215171
Southeast Community Service Agency
Practice location
- Address
- 1501 Riverside Dr 105, Chattanooga, TN 37406-4309
- Phone
- (423) 634-6966
- Fax
- (423) 634-6120
Authorised official
- Name
- Reshonda Shanay Goins
- Title
- Coordinator
- Phone
- (423) 634-6966
Registered specialties
Transportation Broker
Primary
Registry record
- NPI
- 1639215171
- Entity type
- Organization
- NPI issued
- 30 Jan 2007
- Record last updated
- 13 Jul 2007
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.