Organization
PAULINE & THOMAS HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MMBAGA (EXECUTIVE DIRECTOR)
(615) 896-8231
Entity
Organization
Contact information
Practice address
1943 ALMAVILLE RD, SMYRNA, TN 37167-5784
(615) 896-8231
(615) 462-7101
Mailing address
1943 ALMAVILLE RD, SMYRNA, TN 37167-5784
(615) 896-8231
(615) 462-7101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L00000000774
TN
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
L000000007744
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445552
—
TN
Enumeration date
08/12/2011
Last updated
01/21/2025
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