NPI 1770793275

Gibson County Office on Aging

Organisation Supports Brokerage Agency Bradford, TN

Practice location

Address: 168 Emain St, Bradford, TN 38316
Phone: (731) 742-2891
Fax: (731) 742-3028
Mailing address: 168 East Main St PO Box 190, Bradford, TN 38316

Authorised official

Name: Clarice Smith
Title: Director
Phone: (731) 742-2891

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence L4380666259 (TN)

Other Supports Brokerage providers in Tennessee →

Registry record

NPI: 1770793275
Entity type: Organization
NPI issued: 23 May 2007
Record last updated: 22 Aug 2020

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.