Organization
CENTER FOR EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAMERON JABBAR JACKSON M. ED. (CHIEF EXECUTIVE OFFICER)
(615) 310-0287
Entity
Organization
Contact information
Practice address
842 LAVERGNE LN, LA VERGNE, TN 37086-4272
(615) 669-3783
(270) 342-2596
Mailing address
842 LAVERGNE LN, LA VERGNE, TN 37086-4272
(615) 669-3783
(270) 342-2596
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
I000000009757
TN
Other
Enumeration date
01/04/2012
Last updated
05/01/2012
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