Organization
THE POUCH PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERYL PRICE EVANS RN MS CWON (PRESIDENT/OWNER)
(865) 531-1285
Entity
Organization
Contact information
Practice address
8805 KINGSTON PIKE, SUITE 106, KNOXVILLE, TN 37923-5017
(865) 531-1285
(865) 690-0769
Mailing address
8805 KINGSTON PIKE, SUITE 106, KNOXVILLE, TN 37923-5017
(865) 531-1285
(865) 690-0769
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0138932
BCBS
TN
05
—
3562662
—
TN
Enumeration date
08/16/2006
Last updated
08/24/2016
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