| Jackson Homecare Ministries 2 | |
|
321 Rural Hill Rd 323 Rural Hill Rd Nashville TN 37217-3834 | |
| (615) 642-4665 | |
| (615) 367-5007 |
| Full Name | Jackson Homecare Ministries 2 |
|---|---|
| Speciality | Clinic/center |
| Location | 321 Rural Hill Rd, Nashville, Tennessee |
| Authorized Official Name and Position | L V None Jackson (ADMINISTRATOR) |
| Authorized Official Contact | 6156424665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Homecare Ministries 2 310 Rural Hill Ct B Nashville TN 37217-3815 Ph: (615) 642-4665 | Jackson Homecare Ministries 2 321 Rural Hill Rd 323 Rural Hill Rd Nashville TN 37217-3834 Ph: (615) 642-4665 |
| NPI Number | 1912278110 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 11/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912278110 | NPI | - | NPPES |
| ALYSSA44 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L000000012559;12560; (Tennessee) | Primary |
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