Organization
CLINCH RIVER HOME HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD SHUMWAY (CHIE EXECUTIVE OFFICER)
(801) 669-4260
Entity
Organization
Contact information
Practice address
111 EXECUTIVE PARK DRIVE, CLINTON, TN 37716-2222
(865) 457-4263
Mailing address
614 E MAIN ST, RIVERTON, WY 82501-4459
(307) 856-2600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
02/09/2019
Last updated
06/26/2023
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