Organization
SOUTHEAST TN. HUMAN RESOURCE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NANCY D SUTHERLAND (EXECUTIVE DIRECTOR)
(423) 949-2191
Entity
Organization
Contact information
Practice address
312 RESOURCE RD, DUNLAP, TN 37327-3342
(423) 949-2191
(423) 949-5543
Mailing address
312 RESOURCE RD, P.O. BOX 909, DUNLAP, TN 37327-3342
(423) 949-2191
(423) 949-5543
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T000166
—
TN
Enumeration date
08/23/2007
Last updated
07/21/2022
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