Organization
NORTHWEST TENNESSEE HUMAN RESOURCE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A BUCY (EXECUTIVE DIRECTOR)
(731) 587-4213
Entity
Organization
Contact information
Practice address
124 WELDON DR, MARTIN, TN 38237-1308
(731) 587-4213
(731) 587-4587
Mailing address
124 WELDON DR, MARTIN, TN 38237-1308
(731) 587-4213
(731) 587-4587
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445798
—
TN
Enumeration date
04/10/2007
Last updated
09/11/2025
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