Organization
MOUNTAIN WINGS; LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PATRICK HOWARD (DIRECTOR)
(423) 207-0241
Entity
Organization
Contact information
Practice address
321 OLD GRAY STATION RD, SUITE 3, GRAY, TN 37615-3533
(423) 207-0241
Mailing address
321 OLD GRAY STATION RD, SUITE 3, GRAY, TN 37615-3533
(423) 207-0241
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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