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Organization

MEDICAL ATTIRE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMECIA JACKSON (OWNER LPN)
(423) 355-7171
Entity
Organization

Contact information

Practice address
2511 OCOEE ST, CHATTANOOGA, TN 37406-2922
(423) 355-7171
Mailing address
2511 OCOEE ST, CHATTANOOGA, TN 37406-2922

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
343900000X
Non-emergency Medical Transport (VAN)
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
05/26/2025
Last updated
03/27/2026
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