Healthcare Provider Details

I. General information

NPI: 1649740242
Provider Name (Legal Business Name): BEST CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2018
Last Update Date: 07/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 W BADDOUR PKWY
LEBANON TN
37087-2567
US

IV. Provider business mailing address

1405 BADDOUR PKWY
LEBANON TN
37087
US

V. Phone/Fax

Practice location:
  • Phone: 615-547-5400
  • Fax: 615-784-4690
Mailing address:
  • Phone: 615-965-2467
  • Fax: 615-965-2331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CLARINDA BURTON-SHANNON
Title or Position: CEO
Credential: MD
Phone: 615-965-2467