| Purcare Llc | |
|
200 Signature Pl Lebanon TN 37087-3281 | |
| (689) 222-1538 | |
| Not Available |
| Full Name | Purcare Llc |
|---|---|
| Speciality | Counselor |
| Location | 200 Signature Pl, Lebanon, Tennessee |
| Authorized Official Name and Position | Juawana Montgomery (VICE PRESIDENT) |
| Authorized Official Contact | 6892221538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purcare Llc 4701 Trousdale Dr Ste 211 Nashville TN 37220-1325 Ph: (689) 222-1538 | Purcare Llc 200 Signature Pl Lebanon TN 37087-3281 Ph: (689) 222-1538 |
| NPI Number | 1942085881 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Medicare PECOS PAC ID | 5991142762 |
|---|---|
| Medicare Enrollment ID | O20240328002306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942085881 | NPI | - | NPPES |
| Provider Name | Kimberley M Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336189273 PECOS PAC ID: 9638123664 Enrollment ID: I20050317000745 |
| Provider Name | Maycelin Mabbayad Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023659539 PECOS PAC ID: 7517366396 Enrollment ID: I20240329000023 |
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