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Organization

LAWRENCE COUNTY SENIOR CITIZENS CLUB INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANDRA J CALVERT (EXECUTIVE DIRECTOR)
(931) 762-9259
Entity
Organization

Contact information

Practice address
220 CENTENNIAL BLVD., LAWRENCEBURG, TN 38464
(931) 762-9259
(931) 766-1574
Mailing address
220 CENTENNIAL BLVD, LAWRENCEBURG, TN 38464
(931) 762-9259
(931) 766-1574

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
501 (C) (3)
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
T000207
TN
Enumeration date
05/03/2007
Last updated
08/05/2008
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