Organization
CARE TAKERS OF TENNESSEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMEY SOUTHERLAND (OWNER)
(423) 839-3997
Entity
Organization
Contact information
Practice address
471 TYLER DR, DANDRIDGE, TN 37725-6358
(423) 839-3997
Mailing address
PO BOX 1353, DANDRIDGE, TN 37725-1353
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q024887
—
TN
Enumeration date
08/03/2017
Last updated
08/03/2017
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