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Organization
LIFE CARE AT HOME OF TENNESSEE, INC.
Active
Organization
LIFE CARE AT HOME OF TENNESSEE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE JOHNSON (DIRECTOR OF ACCOUNTING)
(423) 473-5257
Entity
Organization
Contact information
Practice address
7625 HAMILTON PARK DR, STE 16, CHATTANOOGA, TN 37421-1188
(423) 510-1500
(423) 510-1560
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5256
(423) 559-8356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0000000109
TN
Other
Enumeration date
05/23/2005
Last updated
03/06/2013
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