Organization
MGWARREN ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA G WARREN (OWNER)
(615) 713-4628
Entity
Organization
Contact information
Practice address
237 CASTLEWOOD DR STE H, MURFREESBORO, TN 37129-5166
(615) 713-4628
(615) 848-6820
Mailing address
237 CASTLEWOOD DR STE H, MURFREESBORO, TN 37129-5166
(615) 713-4628
(615) 848-6820
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000008242
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L000000008242
STATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH LICENSE
TN
Enumeration date
03/10/2011
Last updated
03/10/2011
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