His House
NPI #1821524075 in Springfield, Tennessee
Provider Information
- NPI Number
- 1821524075
- Entity Type
- Organization
- Organization Name
- His House
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- May 10, 2017
- Last Updated
- May 10, 2017
Practice Location
- Address
- 5010 MOUNT ZION RD
- City
- Springfield
- State
- Tennessee
- ZIP Code
- 37172-7130
- Phone
- (931) 881-6417
Authorized Official
- Name
- CONNIE MITCHELL
- Title
- ADMINISTRATOR
- Phone
- (931) 881-6417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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