Provider Demographics
NPI:1427549641
Name:TUCKER'S HOUSE
Entity Type:Organization
Organization Name:TUCKER'S HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NEEDS ASSESSMENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:CONSTANCE
Authorized Official - Last Name:ZACCARI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:615-491-2190
Mailing Address - Street 1:PO BOX 968
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-0968
Mailing Address - Country:US
Mailing Address - Phone:615-310-5224
Mailing Address - Fax:615-777-3173
Practice Address - Street 1:201 BEASLEY DR STE G
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3933
Practice Address - Country:US
Practice Address - Phone:615-310-5224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty