Healthcare Provider Details

I. General information

NPI: 1346564580
Provider Name (Legal Business Name): SECOND STEP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 S WASHINGTON ST
RIPLEY TN
38063-1732
US

IV. Provider business mailing address

271 SOUTH WASHINGTON P.O. BOX 281
RIPLEY TN
38063
US

V. Phone/Fax

Practice location:
  • Phone: 731-635-6006
  • Fax: 731-635-0102
Mailing address:
  • Phone: 731-635-6006
  • Fax: 731-635-0102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateTN

VIII. Authorized Official

Name: MRS. JOHNNIA FINCH
Title or Position: DIRECTOR/CEO
Credential:
Phone: 731-635-6006