Organization
PROSPECT, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRIA FRATTINI (DIRECTOR OF EMPLOYMENT SERVICES)
(615) 444-0597
Entity
Organization
Contact information
Practice address
960 MADDOX SIMPSON PKWY, LEBANON, TN 37090-0751
(615) 444-0597
(615) 444-1251
Mailing address
960 MADDOX SIMPSON PKWY, LEBANON, TN 37090-0751
(615) 444-0597
(615) 444-1251
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
L3(20)4M6-076-3449
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017618
—
TN
Enumeration date
09/09/2016
Last updated
09/09/2016
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