Organization
FAMILY RESPIRATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA ELLISON (OFFICE MANAGER)
(423) 626-6451
Entity
Organization
Contact information
Practice address
411 BLUE TOP RD, STE 3, TAZEWELL, TN 37879-3118
(423) 626-6451
Mailing address
411 BLUE TOP RD, STE 3, TAZEWELL, TN 37879-3118
(423) 626-6451
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
800
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010099269
—
VA
05
—
1454489
—
TN
01
—
4076834
B C/BS
TN
05
—
9008152
—
KY
Enumeration date
06/01/2005
Last updated
02/01/2012
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