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Organization

PROCTOR LOGIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JABBAR LUMUMBA SMITH (OPERATIONS MANAGER)
(901) 482-6033
Entity
Organization

Contact information

Practice address
3000 MIDWOOD ST APT 3106, FRANKLIN, TN 37067-6626
(901) 482-6033
Mailing address
3000 MIDWOOD ST 3106, FRANKLIN, TN 37067
(901) 482-6033

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
695393
TN
332U00000X
Home Delivered Meals
695393
TN
343900000X
Non-emergency Medical Transport (VAN)
069639461
TN
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1484134
NPN INSURANCE PRODUCER NUMBER
SD
Enumeration date
02/04/2014
Last updated
01/19/2016
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