Provider Demographics
NPI:1780905844
Name:HORIZON WELLNESS ENTERPRISES
Entity type:Organization
Organization Name:HORIZON WELLNESS ENTERPRISES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:931-237-0418
Mailing Address - Street 1:217 JAMESTOWN PARK
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1500
Mailing Address - Country:US
Mailing Address - Phone:931-237-0418
Mailing Address - Fax:
Practice Address - Street 1:217 JAMESTOWN PARK
Practice Address - Street 2:SUITE 2
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1500
Practice Address - Country:US
Practice Address - Phone:931-237-0418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000006487253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care