Coram Alternate Site Services INC

NPI #1629184957 in Bartlett, Tennessee

Provider Information

NPI Number: 1629184957
Entity Type: Organization
Organization Name: Coram Alternate Site Services INC
Subpart: Yes (part of a larger organization)
Parent Organization: CORAM ALTERNATE SITE SERVICES INC
Primary Specialty: Home Infusion
Enumeration Date: Aug 21, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 8370 WOLF LAKE DR STE 107
City: Bartlett
State: Tennessee
ZIP Code: 38133-7108
Phone: (615) 630-9279

Authorized Official

Name: TRICIA LACAVICH
Title: PRESIDENT
Phone: (314) 306-3255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Home Infusion	251F00000X	Primary

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