Organization
FAYETTEVILLE-LINCOLN COUNTY SENIOR CITIZENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD WAYNE BRADFORD (DIRECTOR)
(931) 433-7271
Entity
Organization
Contact information
Practice address
908 WASHINGTON ST W, FAYETTEVILLE, TN 37334-2850
(931) 433-7271
(931) 433-8634
Mailing address
908 WASHINGTON ST W, FAYETTEVILLE, TN 37334-2850
(931) 433-7271
(931) 433-8634
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Enumeration date
12/29/2006
Last updated
06/19/2008
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