Southeast Community Service Agency
NPI #1639215171 in Chattanooga, Tennessee
Provider Information
- NPI Number
- 1639215171
- Entity Type
- Organization
- Organization Name
- Southeast Community Service Agency
- Primary Specialty
- Transportation Broker
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jul 13, 2007
Practice Location
- Address
- 1501 RIVERSIDE DR
- Address 2
- 105
- City
- Chattanooga
- State
- Tennessee
- ZIP Code
- 37406-4309
- Phone
- (423) 634-6966
Authorized Official
- Name
- MS. RESHONDA SHANAY GOINS
- Title
- COORDINATOR
- Phone
- (423) 634-6966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Transportation Broker |
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