# FUNCTIONAL INDEPENDENCE HOME CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215983796
- **Authorized official:** JULIE BOLES (CEO)
- **Authorized official phone:** (901) 363-6046

## Contact information

- **Practice address:** 270 GERMAN OAK DR, CORDOVA, TN 38018-7220
- **Practice address phone:** (901) 363-6046
- **Practice address fax:** (901) 546-7663
- **Mailing address:** 270 GERMAN OAK DR, CORDOVA, TN 38018-7220
- **Mailing address phone:** (901) 363-6046
- **Mailing address fax:** (901) 546-7662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0000000610 | TN | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 02/14/2025