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Prospect, Incorporated

Prospect, Incorporated is a health care provider in Lebanon, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751, US
Practice Location Phone615-444-0597
Practice Location Fax615-444-1251
Legal Business NamePROSPECT, INCORPORATED
NPI ?1093262743
Entity TypeOrganization
Enumeration Date ? Sep 9, 2016
Last Update Date ? Sep 9, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Prospect, Incorporated

SpecialtySpecializationLicenseLicense State
Day Training, Developmentally Disabled Services L3(20)4M6-076-3449Tennessee

legacy-id-icon Legacy Provider IDs of Prospect, Incorporated

Provider IdIssuer StateIssuer TypeIssuer
Q017618TennesseeMedicaid

official-icon Authorized Official of Prospect, Incorporated

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Prospect, Incorporated's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Audria Frattini
Authorized Official Title/PositionDIRECTOR OF EMPLOYMENT SERVICES
Authorized Official Phone Number615-444-0597