Organization
PROFESSIONAL CARE SERVICES OF WEST TN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMIE JACKSON (CEO)
(901) 622-1630
Entity
Organization
Contact information
Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
Mailing address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(844) 727-2778
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
07/22/2005
Last updated
02/26/2024
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