Organization
CHATTANOOGA SUPPORTIVE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYLIN RENA JONES (OFFICER)
(423) 883-0355
Entity
Organization
Contact information
Practice address
6148 LEE HWY STE 301, CHATTANOOGA, TN 37421-2941
(423) 883-0355
(423) 475-5648
Mailing address
6215 LEE HWY, SUITE 107K, CHATTANOOGA, TN 37421-2916
(423) 475-5647
(423) 475-5648
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445463
—
TN
Enumeration date
07/19/2016
Last updated
01/23/2020
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