Organization
TOWN & COUNTRY HOME MEDICAL L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA ERISMAN (PRESIDENT / OWNER)
(931) 766-6766
Entity
Organization
Contact information
Practice address
323 BRINK ST, LAWRENCEBURG, TN 38464-1142
(931) 766-6766
(931) 766-6986
Mailing address
P.O. BOX 1142, LAWRENCEBURG, TN 38464-1142
(931) 766-6766
(931) 766-6986
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
703
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454916
—
TN
01
—
4080003
BLUE CROSS BLUE SHIELD
TN
01
—
703
STATE HEALTHCARE FACILITY
TN
01
—
M0084365
UNITED COMMERCIAL TRAVELE
TN
Enumeration date
02/27/2006
Last updated
09/10/2008
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