Organization
LIFECARE FAMILY SERVICES
Active
Parent organization
LIFECARE FAMILY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFECARE FAMILY SERVICES
Authorized official
LANDON KENT MAUCK BBA (HR COORDINATOR)
(615) 781-0013
Entity
Organization
Contact information
Practice address
919 E COLLEGE ST, PULASKI, TN 38478-4432
(615) 781-0013
(615) 627-1441
Mailing address
919 E COLLEGE ST, PULASKI, TN 38478-4432
(615) 781-0013
(615) 627-1441
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
TN
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3376955
GROUP MEDICARE
TN
Enumeration date
11/06/2008
Last updated
11/06/2008
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