# STAFFCO OF EASTERN TENNESSEE, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** At Home Healthcare of East Tennessee
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447588579
- **Authorized official:** MR. JASON NIPPS B.S. (MANAGING MEMBER)
- **Authorized official phone:** (423) 473-9922

## Contact information

- **Practice address:** 2654 PEERLESS RD NW, CLEVELAND, TN 37312-3732
- **Practice address phone:** (423) 473-9922
- **Practice address fax:** (423) 473-9924
- **Mailing address:** 2654 PEERLESS RD NW, CLEVELAND, TN 37312-3732
- **Mailing address phone:** (423) 473-9922
- **Mailing address fax:** (423) 473-9924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | L000000005138 | TN | Yes |

## Other

- **Enumeration date:** 12/01/2009
- **Last updated:** 12/01/2009