Organization
C AND L SUPPORTIVE HEALTH MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDA CALAIN LPN (PARTNER)
(423) 330-6307
Entity
Organization
Contact information
Practice address
1001 N MAIN AVE STE B, ERWIN, TN 37650-1576
(423) 330-6307
Mailing address
1001 N MAIN AVE STE B, ERWIN, TN 37650-1576
(423) 330-6307
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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