Organization
HIS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MITCHELL (ADMINISTRATOR)
(931) 881-6417
Entity
Organization
Contact information
Practice address
5010 MOUNT ZION RD, SPRINGFIELD, TN 37172-7130
(931) 881-6417
Mailing address
5010 MT ZION RD, SPRINGFIELD, TN 37172
(931) 881-6417
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
TNPL536621
TN
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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