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NPI Code Detail

MEDICARE: INCLUDE ME ADVOCACY GROUP

MEDICARE: INCLUDE ME ADVOCACY GROUP
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
1251B00000XCase Management Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency
3251V00000XVoluntary or Charitable Agency

Other Identifiers

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

General Provider Information

NPI Number : 1972075869
Entity Type Code : Organization
Provider Name (Legal Business Name) : INCLUDE ME ADVOCACY GROUP
Provider Business Mailing Address
First Line : 222 2ND AVE S
Second Line :
City : NASHVILLE
State : TN
Zip : 37201-2366
Country : US
Telephone Number : 615-200-0414
Fax Number :
Provider Business Practice Location Address
First Line : 222 2ND AVE S
Second Line :
City : NASHVILLE
State : TN
Zip : 37201-2366
Country : US
Telephone Number : 615-200-0414
Fax Number :
Authorized Official
Title or Position : CO-FOUNDER
Name : JENNIFER FARMER
Credential :
Telephone Number : 615-200-0414
Provider Enumeration Date : 12/18/2018
Last Update Date : 12/18/2018

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