Organization
JAX HOME MEDICAL
Active
Other names
Sacred Gardens Massage & Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA NORENNE STINSON (OWNER)
(270) 703-9534
Entity
Organization
Contact information
Practice address
120 MOUNTAIN RIDGE RD, HICKORY, KY 42051-8925
(270) 703-9534
Mailing address
120 MOUNTAIN RIDGE RD, HICKORY, KY 42051-8925
(270) 703-9534
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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