Organization
PROFESSIONAL HEALTH SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL DENISE ACKLEN (OWNER)
(931) 967-7991
Entity
Organization
Contact information
Practice address
48 SUNRISE PARK, WINCHESTER, TN 37398-2345
(931) 967-7991
(931) 967-9829
Mailing address
48 SUNRISE PARK, WINCHESTER, TN 37398-2345
(931) 967-7991
(931) 967-9829
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
491
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
491
TN OFFICE OF HEALTH CARE FACILITIES
TN
Enumeration date
09/20/2017
Last updated
09/20/2017
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