Healthcare Provider Details

I. General information

NPI: 1548700347
Provider Name (Legal Business Name): TERMINIX INTERNATIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2017
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 RIDGE LAKE BLVD MAILSTOP B2-4092
MEMPHIS TN
38120-9434
US

IV. Provider business mailing address

PO BOX 17167
MEMPHIS TN
38187-0167
US

V. Phone/Fax

Practice location:
  • Phone: 901-597-8938
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: NICOLE BAKER
Title or Position: ACCOUNTING SUPERVISOR
Credential:
Phone: 901-597-8938