Organization
UNIVITA OF TENNESSEE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF SJOBECK (VICE PRESIDENT)
(952) 516-6289
Entity
Organization
Contact information
Practice address
2900 DODDS AVE, CHATTANOOGA, TN 37407-1628
(423) 757-9400
(723) 757-9445
Mailing address
2900 DODDS AVE, CHATTANOOGA, TN 37407-1628
(423) 757-9400
(423) 757-9445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000510
TN
332BC3200X
Customized Equipment (DME)
0000000510
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452401
—
TN
Enumeration date
02/14/2008
Last updated
12/18/2012
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