Organization
ST. JOHN'S COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA BRATCHER (STATE DIRECTOR)
(901) 384-3645
Entity
Organization
Contact information
Practice address
7891 STAGE HILLS BLVD, SUITE 116, BARTLETT, TN 38133-4052
(901) 384-3645
(901) 385-9450
Mailing address
7891 STAGE HILLS BLVD, SUITE 116, BARTLETT, TN 38133-4052
(901) 384-3645
(901) 385-9450
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
L3(20)4M3-056-6214
TN
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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