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Organization

GERIATRIX CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KRISTY ANNE ROACH N.P. (OWNER)
(615) 686-7773
Entity
Organization

Contact information

Practice address
1483 N MOUNT JULIET RD, #220, MOUNT JULIET, TN 37122-3315
(615) 773-7775
Mailing address
PO BOX 1184, LEBANON, TN 37088-1184
(615) 686-7773

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
TN
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
TN
314000000X
Skilled Nursing Facility
TN
315D00000X
Inpatient Hospice
TN
363L00000X
Nurse Practitioner
APN10671
TN

Other

Enumeration date
06/09/2008
Last updated
12/10/2014
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