Organization
TENNESSEE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHESTINE DANIELLE WASHINGTON (BEHAVIOR THERAPIST)
(901) 679-7636
Entity
Organization
Contact information
Practice address
4527 ABERTON DR, SOUTHAVEN, MS 38672-7175
(901) 679-7636
Mailing address
4527 ABERTON DR, SOUTHAVEN, MS 38672-7175
(901) 679-7636
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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