Organization
SWS SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA WHEELER LPN (PRESIDENT)
(615) 945-8401
Entity
Organization
Contact information
Practice address
201 S BROADWAY ST, PORTLAND, TN 37148-1301
(615) 945-8401
Mailing address
201 S BROADWAY ST, PORTLAND, TN 37148-1301
(615) 945-8401
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
I000000010107
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I000000010107
TN DEPT OF MENTAL HEALTH AND DISABILITIES
TN
Enumeration date
07/12/2012
Last updated
07/12/2012
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