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Organization
PROVIDENCE COMPANION CARE OF TN 1, LLC
Active
Organization
PROVIDENCE COMPANION CARE OF TN 1, LLC
Active
Other names
Providence Companion Care
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER L SIMPSON (MANAGING PARTNER)
(423) 220-1266
Entity
Organization
Contact information
Practice address
600 N STATE OF FRANKLIN RD, SUITE 10, JOHNSON CITY, TN 37604-8226
(423) 220-1266
(866) 404-0950
Mailing address
600 N STATE OF FRANKLIN RD, SUITE 10, JOHNSON CITY, TN 37604-8226
(423) 220-1266
(866) 404-0950
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
I000000018767
TN
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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