Organization
OMNI HEALTH CORP
Active
Other names
VITAL CARE OF PARIS
Organization subpart
No
Provider details
NPI number
Authorized official
J NICHOLS (OWNER)
(731) 642-7365
Entity
Organization
Contact information
Practice address
234 TYSON AVE, PARIS, TN 38242-5853
(731) 642-7365
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
1062
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102712
BCBS
TN
05
—
3546501
—
TN
Enumeration date
08/17/2006
Last updated
08/22/2020
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