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Organization

ANTIOCH HEALTH CARE CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MABEL KEYENASOA EKUNDAYO RN (DIRECTOR)
(615) 887-0309
Entity
Organization

Contact information

Practice address
522 BELL RD, UNIT C, ANTIOCH, TN 37013-2002
(615) 788-1047
Mailing address
522 BELL RD, UNIT C, ANTIOCH, TN 37013-2002
(615) 788-1047

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
645163
TN

Other

Enumeration date
02/27/2016
Last updated
02/27/2016
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