Organization
THE BLESSED BROTHERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUDE NICKENSON LAPORTE DIRECTOR (DIRECTOR)
(615) 474-3612
Entity
Organization
Contact information
Practice address
2516 TREETOP DR, ANTIOCH, TN 37013-1806
(615) 474-3612
Mailing address
2516 TREETOP DR, ANTIOCH, TN 37013-1806
(615) 474-3612
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
I000000004998
TN
Other
Enumeration date
04/16/2011
Last updated
05/03/2011
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