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Organization

BIOS OF TENNESSEE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI MOUSE (CHIEF FINANCIAL OFFICER)
(918) 227-8390
Entity
Organization

Contact information

Practice address
2855 STAGE VILLAGE CV, BARTLETT, TN 38134-4616
(901) 388-0258
(901) 388-4254
Mailing address
309 E DEWEY AVE, SAPULPA, OK 74066-4301
(918) 227-8390
(918) 227-8378

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00B98
PROVIDER NUMBER
TN
01
05216W
CONTRACT NUMBER
TN
01
X098
LIST NUMBER
TN
Enumeration date
05/11/2007
Last updated
08/22/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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