# CAMPBELL COUNTY HMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tennova LaFollette Health & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023099447
- **Authorized official:** PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 200 TORREY RD, LA FOLLETTE, TN 37766-2728
- **Practice address phone:** (423) 907-1383
- **Practice address fax:** (423) 907-1189
- **Mailing address:** 923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
- **Mailing address phone:** (423) 907-1200
- **Mailing address fax:** (423) 907-1164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0000000018 | TN | Yes |

## Other

- **Enumeration date:** 11/11/2005
- **Last updated:** 03/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445115 | — | TN |