| NPI | 1588738157 |
|---|---|
| Former Legal Business Name | WEST TENNESSEE SPECIAL TECHNOLOGY ACCESS RESOURCE CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER GRAVES President 731-668-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: NO LICENSE) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-06-23 |