Organization
WHETSTONE VALLEY STABLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY JO SHOUP RN EQUINE SPECIALIST (OWNER)
(931) 215-6863
Entity
Organization
Contact information
Practice address
3368 MURPHY LN, COLUMBIA, TN 38401-5741
(931) 215-6863
(931) 381-2896
Mailing address
3370 MURPHY LN, COLUMBIA, TN 38401-5741
(931) 215-6863
(931) 381-2896
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
14516
TN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
14516
TN
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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