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Rita Tackett
Adult Day Care Clinic/Center in Cleveland, Tennessee
NPI 1619324647

Rita Tackett is an Adult Day Care Clinic/Center based in Cleveland, TN and is specialized in Adult Day Care. Rita Tackett practices in Cleveland, TN. The NPI Number for Rita Tackett is 1619324647 and holds a License No. 1110018A (Tennessee).

The current practice location address for Rita Tackett is 2340 Blue Springs Rd Se, Cleveland, TN and can be reached out via phone at 423-614-4449.

Location: 2340 Blue Springs Rd Se, Cleveland, TN, 37311-0909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619324647
Provider Name
Rita Tackett
Credential
Provider Entity Type
Individual
Gender
Female
Address
2340 Blue Springs Rd Se, Cleveland, TN, 37311-0909
Phone Number
423-614-4449
Fax Number
Provider Enumeration Date
05/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2340 Blue Springs Rd Se
City
Cleveland
State
Tennessee
Zip
37311-0909
Phone Number
423-614-4449
Fax Number
person
Provider Business Mailing Address Details
Address
2340 Blue Springs Rd Se
City
Cleveland
State
Tennessee
Zip
37311-0909
Phone Number
423-614-4449
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
1110018A (Tennessee)
Definition
Definition to come...
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