Healthcare Provider Details

I. General information

NPI: 1578830600
Provider Name (Legal Business Name): MONROE HARDING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2011
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 GLENDALE LN
NASHVILLE TN
37204-4113
US

IV. Provider business mailing address

1120 GLENDALE LN
NASHVILLE TN
37204-4113
US

V. Phone/Fax

Practice location:
  • Phone: 615-298-5573
  • Fax: 615-298-1281
Mailing address:
  • Phone: 615-298-5573
  • Fax: 615-298-1281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License NumberSO/10858A
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberSO/10857A
License Number StateTN

VIII. Authorized Official

Name: MRS. CHARLOTTE L MULLOY
Title or Position: DIRECTOR OF FINANCIAL SERVICES
Credential:
Phone: 615-298-5573