| Lemai Daisy | |
|
1473 Mutual Dr Clarksville TN 37042-7090 | |
| (800) 341-8864 | |
| Not Available |
| Full Name | Lemai Daisy |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 1473 Mutual Dr, Clarksville, Tennessee |
| Authorized Official Name and Position | Ingrid Lemai Jackson (OWNER) |
| Authorized Official Contact | 6154841642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemai Daisy 1473 Mutual Dr Clarksville TN 37042-7090 Ph: (800) 341-8864 | Lemai Daisy 1473 Mutual Dr Clarksville TN 37042-7090 Ph: (800) 341-8864 |
| NPI Number | 1689077802 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689077802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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