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Organization
SENIOR MOMENTS HEALTHCARE INC.
Active
Organization
SENIOR MOMENTS HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIOLA T ADAMS LPN (PRESIDENT)
(615) 957-1367
Entity
Organization
Contact information
Practice address
1013 LAUREL HILLS DR, DICKSON, TN 37055-4060
(615) 441-3464
(615) 740-0738
Mailing address
PO BOX 926, DICKSON, TN 37056-0926
(615) 441-3464
(615) 740-0738
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000004616
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H445069
TENNCARE PROVIDER #
TN
Enumeration date
11/12/2009
Last updated
11/12/2009
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