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Organization
PROFESSIONAL CARE SERVICES OF WEST TN, INC.
Active
Organization
PROFESSIONAL CARE SERVICES OF WEST TN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMIE JACKSON (CEO)
(901) 622-1630
Entity
Organization
Contact information
Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
Mailing address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(844) 727-2778
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
07/22/2005
Last updated
02/26/2024
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