Individual
MARIE MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7003 CHADWICK DR STE 331, BRENTWOOD, TN 37027-5282
(847) 858-5950
Mailing address
7003 CHADWICK DR STE 331, BRENTWOOD, TN 37027-5282
(847) 858-5950
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000025330
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q064500
—
TN
Enumeration date
05/14/2021
Last updated
05/14/2021
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