Organization
LD&H SPECIALIZED CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DESIREE HARDING (HEALTH ADMINISTRATOR)
(731) 602-9512
Entity
Organization
Contact information
Practice address
2260 US-51, HELEN R TUCKER ADULT DEV CENTER, RIPLEY, TN 38063
(731) 602-9512
(731) 635-3499
Mailing address
2260 US-51, RIPLEY, TN 38063
(731) 602-9512
(731) 635-3499
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1000000018834
TN
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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