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1467753103
MOUNTAIN WINGS; LLC
GRAY, TN
NPI
1467753103
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Entity Type
Organization
Authorized Contact
JAMES PATRICK HOWARD
Director
423-207-0241
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2010-11-11
Last Update Date
2010-11-11
Business Address
MOUNTAIN WINGS; LLC
321 OLD GRAY STATION RD SUITE 3
GRAY, TN 37615-3533
Phone number: 423-207-0241
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Mailing Address
MOUNTAIN WINGS; LLC
321 OLD GRAY STATION RD SUITE 3
GRAY, TN 37615-3533
Phone number: 423-207-0241
Copy
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