Organization
NORTHWEST COMMUITY SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MCWHERTER (EXECUTIVE DIRECTOR)
(731) 884-2640
Entity
Organization
Contact information
Practice address
1604 W REELFOOT AVE, UNION CITY, TN 38261-5530
(731) 884-2640
(731) 884-2644
Mailing address
1604 W REELFOOT AVE, UNION CITY, TN 38261-5530
(731) 884-2640
(731) 884-2644
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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