Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Ballad Health Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN KRUTAK (EVP / CFO)
(423) 302-3423
Entity
Organization
Contact information
Practice address
75 S FLANNAGAN AVE, LEBANON, VA 24266
(276) 883-8484
(276) 883-8495
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(276) 883-8484
(276) 883-8495
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
02/26/2019
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