Organization
LEND A HAND SUPPORTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA RAE HALVORSEN (EXECUTIVE DIRECTOR)
(615) 513-5178
Entity
Organization
Contact information
Practice address
20 MCALISTER LN, FAYETTEVILLE, TN 37334-6023
(615) 513-5178
Mailing address
PO BOX 295, FAIRVIEW, TN 37062-0295
(161) 551-3517
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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