Organization
PRUITTHEALTH HOSPICE - TENNESSEE, INC.
Active
Other names
PruittHealth Hospice and Palliative Care - Western Tennessee
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETHIA NYTONYA HOLLEY (PROVIDER ENROLLMENT SPECIALIST)
(770) 806-6875
Entity
Organization
Contact information
Practice address
34 N LAFAYETTE AVE # 36, BROWNSVILLE, TN 38012-2549
(770) 279-6200
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
07/23/2026
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