Organization
PERRY COUNTY COUNCIL ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANNE HEDRICK WATSON (DIRECTOR)
(931) 589-5111
Entity
Organization
Contact information
Practice address
112 SOUTH MILL ST., LINDEN, TN 37096
(931) 589-5111
(931) 589-3375
Mailing address
P. O. BOX 367, 112 SOUTH MILL ST., LINDEN, TN 37096-0367
(931) 589-5111
(931) 589-3375
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T000154
PROVIDER NO. TN CARE
TN
Enumeration date
01/30/2007
Last updated
08/22/2020
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