Organization
LIFE HOUSE HOSPICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MITCHELL (CEO)
(931) 881-6417
Entity
Organization
Contact information
Practice address
570 STATE ST, COOKEVILLE, TN 38501-3718
(931) 881-6417
Mailing address
570 STATE ST, COOKEVILLE, TN 38501-3718
(931) 881-6417
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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