Organization
LSN HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA NICHOLS (CEO)
(901) 830-9432
Entity
Organization
Contact information
Practice address
1630 BONNIE LN STE 102, CORDOVA, TN 38016-0515
(404) 426-4164
Mailing address
1630 BONNIE LN STE 102, CORDOVA, TN 38016-0515
(404) 426-4164
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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