Organization
CAMPBELL COUNTY HMA LLC
Active
Other names
Tennova LaFollette Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
200 TORREY RD, LA FOLLETTE, TN 37766-2728
(423) 907-1383
(423) 907-1189
Mailing address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1200
(423) 907-1164
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000018
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445115
—
TN
Enumeration date
11/11/2005
Last updated
03/29/2021
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