Organization
GERICARE, 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
123 PICKWICK ST, SAVANNAH, TN 38372-1953
(731) 925-6626
(731) 925-7330
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
0290
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447201
—
TN
Enumeration date
11/03/2005
Last updated
12/14/2015
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