MEDICARE: KEASIA FINANCIALS AND MANAGEMENT, 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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1609177625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEASIA FINANCIALS AND MANAGEMENT, INC

Provider Business Mailing Address
First Line	:	1113 DICKERSON PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-5406
Country	:	US
Telephone Number	:	615-915-3863
Fax Number	:	615-915-3872

Provider Business Practice Location Address
First Line	:	1113 DICKERSON PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-5406
Country	:	US
Telephone Number	:	615-915-3863
Fax Number	:	615-915-3872

Authorized Official
Title or Position	:	CEO
Name	:	MRS. NICOLE B HICKS
Credential	:
Telephone Number	:	615-915-3863

Provider Enumeration Date	:	11/08/2010
Last Update Date	:	11/08/2010

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