Individual
RITA TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2340 BLUE SPRINGS RD SE, CLEVELAND, TN 37311-0909
(423) 614-4449
Mailing address
2340 BLUE SPRINGS RD SE, CLEVELAND, TN 37311-0909
(423) 614-4449
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1110018A
TN
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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