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Organization
GREAT AND MIGHTY INC.
Active
Organization
GREAT AND MIGHTY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODILIA AYANAMA (CEO)
(615) 579-4914
Entity
Organization
Contact information
Practice address
521 GREENS LN, WHITES CREEK, TN 37189-9195
(615) 579-4914
(615) 299-8045
Mailing address
521 GREENS LN, WHITES CREEK, TN 37189-9195
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
I000000010319
TN
Other
Enumeration date
02/24/2012
Last updated
03/13/2012
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