Organization
QUALITY INDEPENDENT SERVICE COORDINATORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET T. CONNELL (EXECUTIVE DIRECTOR)
(504) 858-9370
Entity
Organization
Contact information
Practice address
2322 ASCOTT PL, CORDOVA, TN 38016-4502
(901) 531-7350
(901) 531-7352
Mailing address
2322 ASCOTT PL, CORDOVA, TN 38016-4502
(901) 531-7350
(901) 531-7352
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00E01
—
TN
Enumeration date
03/21/2007
Last updated
08/22/2020
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