NPI 1891868204

Custom Healthcare

Organisation Home Infusion Agency Chattanooga, TN

Practice location

Address: 6227 Lee Highway Suite I, Chattanooga, TN 37421
Phone: (423) 893-9335
Fax: (423) 893-9336
Mailing address: 3700 Brainerd Rd, Chattanooga, TN 37411-3603

Authorised official

Name: Wanda S Key
Title: President of Operations
Phone: (423) 697-0057

Registered specialties

Home Infusion Agency Primary

Agencies Taxonomy 251F00000X Licence 73387 (TN)

Other Home Infusion providers in Tennessee →

Registry record

NPI: 1891868204
Entity type: Organization
NPI issued: 15 Nov 2006
Record last updated: 8 Mar 2019

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.