Organization
PROFESSIONAL SERVICE GROUP PSG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LURONE JENNINGS SR. (OWNER/ CEO)
(423) 266-1384
Entity
Organization
Contact information
Practice address
200 W 38TH ST, CHATTANOOGA, TN 37410-1317
(423) 266-1384
(423) 756-3557
Mailing address
200 W 38TH ST, CHATTANOOGA, TN 37410-1317
(423) 266-1384
(423) 756-3557
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1000000011801
TN
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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