Organization
LIFESPAN FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE E ESTELLA (APN)
(423) 309-3934
Entity
Organization
Contact information
Practice address
4106 LOST OAK DR, OOLTEWAH, TN 37363-8438
(423) 309-3934
(423) 499-8616
Mailing address
4106 LOST OAK DR, OOLTEWAH, TN 37363-8438
(423) 309-3934
(423) 499-8616
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
13170
TN
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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