Healthcare Provider Details

I. General information

NPI: 1578799821
Provider Name (Legal Business Name): LORETTO COMMUNICATION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2009
Last Update Date: 06/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 S MAIN ST
LORETTO TN
38469-2110
US

IV. Provider business mailing address

PO BOX 26
LORETTO TN
38469-0026
US

V. Phone/Fax

Practice location:
  • Phone: 931-853-4327
  • Fax: 931-853-4329
Mailing address:
  • Phone: 931-853-4327
  • Fax: 931-853-4329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MS. LOUISE BROWN
Title or Position: PRESIDENT
Credential:
Phone: 931-853-4351