MEDICARE: MONROE HARDING INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253J00000X	Foster Care Agency	SO/10858A	TN
2	251S00000X	Community/Behavioral Health Agency	SO/10857A	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578830600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONROE HARDING INC.

Provider Business Mailing Address
First Line	:	1120 GLENDALE LN
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-4113
Country	:	US
Telephone Number	:	615-298-5573
Fax Number	:	615-298-1281

Provider Business Practice Location Address
First Line	:	1120 GLENDALE LN
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-4113
Country	:	US
Telephone Number	:	615-298-5573
Fax Number	:	615-298-1281

Authorized Official
Title or Position	:	DIRECTOR OF FINANCIAL SERVICES
Name	:	MRS. CHARLOTTE L MULLOY
Credential	:
Telephone Number	:	615-298-5573

Provider Enumeration Date	:	11/17/2011
Last Update Date	:	11/17/2011

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Directions to “MONROE HARDING INC. ” Practice Location

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