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Organization
DYER CO. GOVERNMENT
Active
Organization
DYER CO. GOVERNMENT
Active
Parent organization
DYER CO. GOVERNMENT
Other names
Dyer Co. Office on Aging
Organization subpart
Yes
Provider details
NPI number
Legal business name
DYER CO. GOVERNMENT
Authorized official
MR. DAVID QUICK (DYER COUNTY MAYOR)
(731) 286-7800
Entity
Organization
Contact information
Practice address
1400 HORNBROOK ST., DYERSBURG, TN 38024
(731) 286-7832
(731) 286-7836
Mailing address
P.O. BOX 1360, 101 WEST COURT STREET, DYERSBURG, TN 38024
(731) 286-7800
(731) 286-6462
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00023101
UNITED HEALTHCARE
TN
01
—
4263551
TENN-CARE-BLUECARE
TN
Enumeration date
08/10/2023
Last updated
08/10/2023
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