Organization
CAROLYN'S HEART, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA RICKER (DIRECTOR ADMINISTRATOR)
(423) 638-1912
Entity
Organization
Contact information
Practice address
1669 OLD SHILOH RD, GREENEVILLE, TN 37745-0539
(423) 638-1912
Mailing address
1669 OLD SHILOH RD, GREENEVILLE, TN 37745-0539
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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