Healthcare Provider Details
I. General information
NPI: 1881816205
Provider Name (Legal Business Name): INSPIRIS OF PENNSYLVANIA INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 CADILLAC DRIVE SUITE 350
BRENTWOOD TN
37027-5095
US
IV. Provider business mailing address
10 CADILLAC DRIVE SUITE 350
BRENTWOOD TN
37027-5095
US
V. Phone/Fax
- Phone: 615-986-9201
- Fax: 615-986-9256
- Phone: 615-986-9201
- Fax: 615-986-9256
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WG0600X |
| Taxonomy | Gerontology Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIRK
M
STANLEY
Title or Position: CFO
Credential:
Phone: 615-986-9226