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TOWN & COUNTRY HOME MEDICAL L.L.C.
Oxygen Equipment & Supplies >> Durable Medical Equipment & Medical Supplies >> SuppliersRegistrant NPI Number: 1902872179
Organizational Registrant:Organization Name: TOWN & COUNTRY HOME MEDICAL L.L.C.
Organization is not Subpart
Authorized Official: GINA ERISMAN PRESIDENT / OWNER 931--76-66766
Organization is not Subpart
Authorized Official: GINA ERISMAN PRESIDENT / OWNER 931--76-66766
Location and contact information for practice:
323 BRINK ST LAWRENCEBURG, TN 38464-1142 US
Tel: 931-766-6766 Fax: 931-766-6986
Tel: 931-766-6766 Fax: 931-766-6986
Contact information for business:
P.O. BOX 1142 LAWRENCEBURG, TN 38464-1142 US
Tel: 931-766-6766 Fax: 931-766-6986
Tel: 931-766-6766 Fax: 931-766-6986
Registration Information:
NPI: 1902872179
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 332BX2000X | Suppliers Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | TN | 703 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1454916 | TN | 05 | |
| BLUE CROSS BLUE SHIELD | 4080003 | TN | 01 |
| UNITED COMMERCIAL TRAVELE | M0084365 | TN | 01 |
| STATE HEALTHCARE FACILITY | 703 | TN | 01 |
| TENNCARE SELECT | 4080003 | TN | 01 |
