Organization
LIFELINE HOME HEALTH CARE OF UNION CITY, LLC
Active
Other names
Extendicare Home Health of Western Tennessee
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1720 EAST REELFOOT AVENUE, SUITE 203, UNION CITY, TN 38261-6049
(731) 885-0866
(731) 885-0327
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
00000188
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447434
—
TN
Enumeration date
09/21/2006
Last updated
08/08/2013
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