Individual
LAMUS RUSH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 HUNTERS LAKE DR, CORDOVA, TN 38018-1837
(901) 336-2934
Mailing address
1105 HUNTERS LAKE DR, CORDOVA, TN 38018-1837
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
TN
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
372600000X
Adult Companion
—
TN
3747A0650X
Attendant Care Provider
—
TN
3747P1801X
Personal Care Attendant
—
TN
374T00000X
Religious Nonmedical Nursing Personnel
—
TN
376J00000X
Homemaker
—
TN
376K00000X
Nurse's Aide
—
TN
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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