Front Page Fame LLC
Community/Behavioral Health in Jackson, TN. Organization (NPI-2).
NPI number1588022727
StatusActive
Last updated in NPPESMay 6, 2024
Details
- NPI
- 1588022727
- Entity type
- Organization (NPI-2)
- Legal business name
- Front Page Fame LLC
- Organization subpart
- No
- Enumeration date
- Feb 2, 2016
- Certification date
- May 6, 2024
- Last updated
- May 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 174H00000X | Health Educator | – | – | |
| 251K00000X | Public Health or Welfare | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Other names
- Fundamental Health Solutions (Doing Business As)
Practice location
115 Directors RowJackson, TN 38305-2316
Phone 731-203-0708
Mailing address
541 Wiley Parker RdJackson, TN 38305-2226
Phone 731-203-0708
Authorized official
Kimberly Lovelady
Owner/Co-Founder
7312030708
Is something wrong?
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