# LINCOLN MEDICAL HOME HEALTH & HOSPICE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LINCOLN MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588610885
- **Legal business name:** LINCOLN MEDICAL CENTER
- **Authorized official:** MR. DAVID R. GROCE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (931) 438-7471

## Contact information

- **Practice address:** 1797 WILSON PKWY, FAYETTEVILLE, TN 37334-2770
- **Practice address phone:** (931) 433-8088
- **Practice address fax:** (931) 433-8086
- **Mailing address:** 1797 WILSON PKWY, FAYETTEVILLE, TN 37334-2770
- **Mailing address phone:** (931) 433-8088
- **Mailing address fax:** (931) 433-8086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0000000160 | TN | Yes |
| 251G00000X | Community Based Hospice Care Agency | 0000000375 | TN | — |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 09/03/2010
