Organization
FISHIELD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET STELLA FISHER (MENTAL HEALTH ADMINISTRATOR)
(615) 355-9445
Entity
Organization
Contact information
Practice address
325 PLUS PARK BLVD STE 101, NASHVILLE, TN 37217-1067
(615) 366-9445
Mailing address
325 PLUS PARK BLVD STE 101, NASHVILLE, TN 37217-1067
(615) 366-9445
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G706788
MEDICARE
—
01
—
1528970
TN CARE
TN
Enumeration date
12/14/2012
Last updated
12/14/2012
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