Organization
HEAVENLY HOMECARE OF EAST TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRA LEANN WATSON (OWNER)
(423) 519-6021
Entity
Organization
Contact information
Practice address
4025 OAKWOOD DR, CHATTANOOGA, TN 37416-2373
(423) 519-6021
Mailing address
PO BOX 8115, CHATTANOOGA, TN 37414-0115
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/10/2018
Last updated
06/10/2018
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