Organization
CONTINUCARE HEALTHSERVICES, INC. - WAIVER
Active
Other names
ContinuCare HealthServices, Inc. - DMRS Waiver
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA L. BOURDON (PRESIDENT)
(423) 386-1000
Entity
Organization
Contact information
Practice address
1501 RIVERSIDE DRIVE, SUITE 350, CHATTANOOGA, TN 37406
(423) 624-8281
(423) 624-0133
Mailing address
1501 RIVERSIDE DRIVE, SUITE 350, CHATTANOOGA, TN 37406
(423) 624-8281
(423) 624-0133
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0000000098
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004444
DMRS WAIVER
TN
05
—
0447471
—
TN
Enumeration date
10/03/2006
Last updated
06/24/2013
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