Organization
LIFECARE HERITAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANDON KENT MAUCK BBA (HUMAN RESOURCE COORDINATOR)
(615) 781-0013
Entity
Organization
Contact information
Practice address
145 THOMPSON LN, NASHVILLE, TN 37211-2411
(615) 781-0013
(615) 627-1441
Mailing address
145 THOMPSON LN, NASHVILLE, TN 37211-2411
(615) 781-0013
(615) 627-1441
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
5794
TN
Other
Enumeration date
01/15/2010
Last updated
02/02/2010
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