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Organization
PROSPECT, INC.
Active
Organization
PROSPECT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ANN SIMONE (DIRECTOR OF MANAGED CARE PROGRAMS)
(615) 444-0597
Entity
Organization
Contact information
Practice address
960 MADDOX SIMPSON PKWY, LEBANON, TN 37090-0751
(615) 444-0597
(615) 444-1251
Mailing address
960 MADDOX SIMPSON PKWY, LEBANON, TN 37090-0751
(615) 444-0597
(615) 444-1251
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L000000018006
TN
253Z00000X
In Home Supportive Care Agency
L000000018006
TN
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
02/14/2007
Last updated
07/10/2020
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