Sullivan County Regional
Case Manager/Care Coordinator in Blountville, TN. Organization (NPI-2).
NPI number1982809935
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982809935
- Entity type
- Organization (NPI-2)
- Legal business name
- Sullivan County Regional
- Organization subpart
- No
- Enumeration date
- Jun 19, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
154 Blountville BypassBlountville, TN 37663
Phone 423-279-2783
Mailing address
915 Hidden Valley RdKingsport, TN 37663-3413
Authorized official
Michele Shelton
Tenndercare Outreach Specialist
4236776766
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