Organization
LIBERTAS FOR RYAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BLAIR (PRESIDENT)
(615) 579-5053
Entity
Organization
Contact information
Practice address
226 E END RD, GOODLETTSVILLE, TN 37072-9522
(615) 579-5053
Mailing address
226 E END RD, GOODLETTSVILLE, TN 37072-9522
(615) 579-5053
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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