Organization
HORIZON COMMUNITY DEV. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD VON ESSEN (EXECUTIVE DIRECTOR)
(423) 340-1266
Entity
Organization
Contact information
Practice address
806 DRESDEN AVE, JOHNSON CITY, TN 37604-6324
(423) 340-1266
(423) 928-7700
Mailing address
806 DRESDEN AVE, JOHNSON CITY, TN 37604-6324
(423) 340-1266
(423) 928-7700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69122
CONTRACTORS LICENSE
TN
Enumeration date
10/25/2015
Last updated
10/25/2015
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