# LIFE CARE AT HOME OF TENNESSEE, INC.

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

## Provider details

- **NPI number:** 1679576847
- **Authorized official:** MS. STEPHANIE JOHNSON (DIRECTOR OF ACCOUNTING)
- **Authorized official phone:** (423) 473-5257

## Contact information

- **Practice address:** 7625 HAMILTON PARK DR, STE 16, CHATTANOOGA, TN 37421-1188
- **Practice address phone:** (423) 510-1500
- **Practice address fax:** (423) 510-1560
- **Mailing address:** 3001 KEITH ST NW, CLEVELAND, TN 37312-3713
- **Mailing address phone:** (423) 473-5256
- **Mailing address fax:** (423) 559-8356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0000000109 | TN | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 03/06/2013