Organization
IN-HOME CARE OF COOKEVILLE, LLC
Active
Other names
A Better Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARY YOUNG (GENERAL MANAGER)
(931) 303-0411
Entity
Organization
Contact information
Practice address
605 N WILLOW AVE, SUITE B, COOKEVILLE, TN 38501-1717
(931) 303-0411
Mailing address
605 N WILLOW AVE, SUITE B, COOKEVILLE, TN 38501-1717
(931) 303-0411
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000000015022
STATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
TN
05
—
H445832
—
TN
Enumeration date
07/09/2014
Last updated
11/12/2015
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