Organization
SOUTHERN COMFORTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M TAYES (OWNER)
(931) 372-1303
Entity
Organization
Contact information
Practice address
118 S DIXIE AVE STE 1, COOKEVILLE, TN 38501-3415
(931) 520-0968
(931) 520-0971
Mailing address
PO BOX 695, COOKEVILLE, TN 38503-0695
(931) 520-0968
(931) 520-0971
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000006229
TN
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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