Organization
LIFECARE HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG COOPER (PRESIDENT)
(615) 851-5057
Entity
Organization
Contact information
Practice address
813 MEADOWLARK LN, GOODLETTSVILLE, TN 37072-2307
(615) 851-5057
(615) 851-6671
Mailing address
813 MEADOWLARK LN, GOODLETTSVILLE, TN 37072-2307
(615) 851-5057
(615) 851-6671
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000002189
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454679
—
TN
01
—
4095389
BCBS TN
TN
Enumeration date
07/29/2006
Last updated
03/03/2008
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