Healthcare Provider Details
I. General information
NPI: 1306277041
Provider Name (Legal Business Name): HOSPITAL TRANSITIONAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2013
Last Update Date: 12/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
140 ALLENHURST CIR
FRANKLIN TN
37067-7271
US
IV. Provider business mailing address
140 ALLENHURST CIR
FRANKLIN TN
37067-7271
US
V. Phone/Fax
- Phone: 615-498-1516
- Fax: 615-550-6099
- Phone: 615-498-1516
- Fax: 615-550-6099
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | 31405 |
| License Number State | TN |
VIII. Authorized Official
Name:
JOSEPH
OZENNE
Title or Position: MEDICAL DIRECTOR/CEO
Credential: 6154981516
Phone: 615-498-1516