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State Of Tennessee
Public Health or Welfare Agency in Portland, Tennessee
NPI 1003090036

State Of Tennessee is a Public Health or Welfare Agency based in Portland, TN. State Of Tennessee practices in Portland, TN. The NPI Number for State Of Tennessee is 1003090036 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 214 West Longview Drive, Portland, TN and can be reached out via phone at 615-325-5237 and via fax at 615-325-5549.

Location: 214 West Longview Drive, Portland, TN, 37148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003090036
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
214 West Longview Drive, Portland, TN, 37148
Phone Number
615-325-5237
Fax Number
615-325-5549
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1511601 05 TN
institution
Provider Business Practice Location Address Details
Address
214 West Longview Drive
City
Portland
State
Tennessee
Zip
37148
Phone Number
615-325-5237
Fax Number
615-325-5549
person
Provider Business Mailing Address Details
Address
214 West Longview Drive
City
Portland
State
Tennessee
Zip
37148
Phone Number
615-325-5237
Fax Number
615-325-5549
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
(Tennessee)
Definition
Definition to come...
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