Organization
BABY BUNDLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GARRISON CD (CERTIFIED DOULA)
(931) 200-0463
Entity
Organization
Contact information
Practice address
5152 POPLAR GROVE RD, COOKEVILLE, TN 38506-6805
(931) 200-0463
Mailing address
5152 POPLAR GROVE RD, COOKEVILLE, TN 38506-6805
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
374J00000X
TN
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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