Healthcare Provider Details

I. General information

NPI: 1508370834
Provider Name (Legal Business Name): ENDURACARE ACUTE CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2017
Last Update Date: 11/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WOODGREEN PL STE 101
MADISON MS
39110-8161
US

IV. Provider business mailing address

381 RIVERSIDE DR STE 440
FRANKLIN TN
37064-8934
US

V. Phone/Fax

Practice location:
  • Phone: 601-605-1126
  • Fax: 601-605-1891
Mailing address:
  • Phone: 615-861-8755
  • Fax: 615-472-1936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER C BERRELL
Title or Position: VP OF HUMAN RESOURCES
Credential:
Phone: 615-861-8755