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Organization
ANTIOCH HEALTH CARE CORP
Active
Organization
ANTIOCH HEALTH CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MABEL KEYENASOA EKUNDAYO RN (DIRECTOR)
(615) 887-0309
Entity
Organization
Contact information
Practice address
522 BELL RD, UNIT C, ANTIOCH, TN 37013-2002
(615) 788-1047
Mailing address
522 BELL RD, UNIT C, ANTIOCH, TN 37013-2002
(615) 788-1047
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
645163
TN
Other
Enumeration date
02/27/2016
Last updated
02/27/2016
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