Organization
ELK VALLEY HOME HEALTH CARE AGENCY, LLC
Active
Other names
Deaconess HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1820 HUNTSVILLE HWY, SUITE A, FAYETTEVILLE, TN 37334-3789
(931) 433-7026
(931) 433-0341
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0161
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447109
—
TN
Enumeration date
11/03/2005
Last updated
04/04/2014
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