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Organization

BLUESKY HOUSECALLS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB WALLSTEDT (CHIEF OF BUSINESS DEVELOPMENT)
(615) 340-6840
Entity
Organization

Contact information

Practice address
109 WESTPARK DR, BRENTWOOD, TN 37027-5063
(615) 340-6840
(615) 600-4804
Mailing address
PO BOX 150979, BRENTWOOD, TN 37027

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
11/06/2015
Last updated
02/08/2024
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