Organization
CLARKSVILLE HOME CARE SERVICES LLC
Active
Other names
Tennova Hospice - Clarksville
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
647 DUNLOP LN STE 117, CLARKSVILLE, TN 37040-5165
(931) 552-9551
(831) 647-8111
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0000000360
TN
315D00000X
Inpatient Hospice
0000000360
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q037224
—
TN
Enumeration date
05/24/2006
Last updated
07/29/2020
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