Organization
INTERSTATE NURSING AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ESTELLA SNEED REGISTERED NURSE (PRESIDENT/OWNER)
(901) 872-2878
Entity
Organization
Contact information
Practice address
5039 NAVY RD, MILLINGTON, TN 38053-2111
(901) 872-2878
Mailing address
5039 NAVY RD, MILLINGTON, TN 38053-2111
(901) 872-2878
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
RN0000079144
TN
251F00000X
Home Infusion Agency
RN0000079144
TN
251J00000X
Nursing Care Agency
Primary
RN0000079144
TN
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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