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Organization
BACK ON TRACK OVER TN LLC
Active
Organization
BACK ON TRACK OVER TN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO HUGHES CNA (DIRECTOR OF OPERATIONS)
(865) 393-9339
Entity
Organization
Contact information
Practice address
3936 SELMA AVE, KNOXVILLE, TN 37914-4855
(865) 556-4939
(865) 393-9339
Mailing address
3936 SELMA AVE, KNOXVILLE, TN 37914-4855
(865) 556-4939
(865) 393-9339
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
315D00000X
Inpatient Hospice
—
NULL
Other
Enumeration date
04/19/2024
Last updated
11/08/2025
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