Organization
JACKSON HOMECARE MINISTRIES 1
Active
Other names
Jackson HomeCare Ministries 2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. L V NONE JACKSON C EO (ADMINISTRATOR)
(615) 642-4665
Entity
Organization
Contact information
Practice address
321 RURAL HILL RD, 323 RURAL HILL RD, NASHVILLE, TN 37217-3834
(615) 642-4665
(615) 367-5007
Mailing address
310 RURAL HILL CT, B, NASHVILLE, TN 37217-3815
(615) 642-4665
(615) 367-5007
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
L000000012559;12560;
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ALYSSA44
—
TN
Enumeration date
01/19/2012
Last updated
11/12/2013
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