LIVING WATER PREVENTION PROGRAM FACILITY
Ambulatory Health at Old Cookeville Rd, Ravenscroft, TN

License number
Tennessee I000000004501
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: LINDA CASKEY
Title: SEC-TREAS
Phone: (931) 738-8102
Address
Address
959 Old Cookeville Rd, Ravenscroft, TN 38583
National Provider ID: 1184852048
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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