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Individual

MOLLIE L BUFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNT

Contact information

Practice address
229 MANZANO RD, MADISON, TN 37115-4265
(615) 624-2323
(615) 891-2724
Mailing address
229 MANZANO RD, MADISON, TN 37115-4265
(615) 624-2323
(615) 891-2724

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
138048
TN
3747A0650X
Attendant Care Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093871576
HEAVEN SENT HEALTHCARE SERVICES,LLC
TN
Enumeration date
08/19/2011
Last updated
09/13/2013
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