Provider Demographics
NPI:1154605814
Name:TAPESTRY CONNECTIONS
Entity type:Organization
Organization Name:TAPESTRY CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:V
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-418-8547
Mailing Address - Street 1:613 E ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-4317
Mailing Address - Country:US
Mailing Address - Phone:615-418-8547
Mailing Address - Fax:931-648-0012
Practice Address - Street 1:613 E ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-4317
Practice Address - Country:US
Practice Address - Phone:615-418-8547
Practice Address - Fax:931-648-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000009648253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care