Organization
COMPREHENSIVE CONTINGENCY TASK FORCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE TORRES LPN (NURSING SUPERVISOR)
(706) 221-5025
Entity
Organization
Contact information
Practice address
3649 VICTORY DR, COLUMBUS, GA 31903-4553
(706) 221-5025
Mailing address
502 W CENTER CROSS ST, EDINBURGH, IN 46124-9701
(812) 526-4070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26XFNKR00
HIN NUMBER
IN
Enumeration date
01/28/2013
Last updated
01/28/2013
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