Organization
EAGLE MEDICAL SATFFING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY LYNN HARLOW (OWNER, CHIEF MANAGER)
(901) 737-3990
Entity
Organization
Contact information
Practice address
8316 MACON TER STE 101, CORDOVA, TN 38018-8505
(901) 372-9210
(901) 737-9836
Mailing address
8316 MACON TER STE 101, CORDOVA, TN 38018-8505
(901) 372-9210
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
14381069689
TN
253Z00000X
In Home Supportive Care Agency
Primary
PSS0000000247
TN
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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