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
18718 ALBERTA ST, ONEIDA, TN 37841-2128
(423) 569-8441
(423) 569-4043
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
0211
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447498
—
TN
Enumeration date
11/03/2005
Last updated
04/04/2014
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