OrganizationActive
Tncoviddefense
NPI 1801560768 · Nursing Care Agency · Mc Kenzie, TN
Provider details
- NPI number
- 1801560768
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Michael Fuller, Owner(731) 358-4062
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Health Maintenance Organization302R00000X
Managed Care Organizations
Practice location
33 Reynolds St
Mc Kenzie, TN 38201-2051
Phone: (731) 358-4062
Approximate (ZIP-level) locationGet directions
Mailing address
33 Reynolds St
Mc Kenzie, TN 38201-2051
Registry dates
- Enumerated
- 2021-08-04
- Last updated
- 2021-08-04
- Certified
- 2021-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.