| NPI | 1558039479 |
|---|---|
| Former Legal Business Name | CAMPBELL ESSENTIAL SOLUTIONS LLC |
| Former Legal Business Name | LEAF GREEN MEDICAL SOLUTIONS LLC |
| Entity Type | Organization |
| Authorized Contact | SHANEQUA CAMPBELL Executive Director 615-589-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-25 |