Organization
EMBRACE HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEIFUS MALONE (MANAGED MEMBER)
(615) 403-5468
Entity
Organization
Contact information
Practice address
607 W DUE WEST AVE, MADISON, TN 37115-4431
(615) 920-5851
Mailing address
612 AIDEEN PL, MADISON, TN 37115-4283
(615) 403-5468
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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