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Organization

PRO NURSE OF TN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL V GRAVES (OWNER)
(615) 369-6500
Entity
Organization

Contact information

Practice address
1819 CHARLOTTE AVE, NASHVILLE, TN 37203
(615) 369-6500
(615) 369-6501
Mailing address
PO BOX 332056, NASHVILLE, TN 37203
(615) 369-6500
(615) 369-6501

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
145184
TN

Other

Enumeration date
03/13/2008
Last updated
03/13/2008
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