Organization
FERNWOOD SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA MARIE EASTERDAY DIRECTOR (DIRECTOR)
(423) 328-9249
Entity
Organization
Contact information
Practice address
207 N BOONE ST, SUITE 2, JOHNSON CITY, TN 37604-5675
(423) 328-9249
(423) 328-9250
Mailing address
207 N BOONE ST, SUITE 2, JOHNSON CITY, TN 37604-5675
(423) 328-9249
(423) 328-9250
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000013951
TN
253Z00000X
In Home Supportive Care Agency
1000000016503
TN
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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