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Organization
SELECT SERVICES
Active
Organization
SELECT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELIA SKIPPER (OWNER)
(901) 503-9817
Entity
Organization
Contact information
Practice address
1704 BELLEDEER DR W, CORDOVA, TN 38016-0411
(901) 503-9817
Mailing address
1704 BELLEDEER DR W, CORDOVA, TN 38016-0411
(901) 503-9817
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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