Organization
AT HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE JILL MCDONALD (OWNER/PARTNER)
(931) 964-4500
Entity
Organization
Contact information
Practice address
22 MONUMENT RD, SUITE 100, SUMMERTOWN, TN 38483-7644
(931) 964-4500
(931) 964-4533
Mailing address
22 MONUMENT RD., SUITE 100, SUMMERTOWN, TN 38483-0000
(931) 964-4500
(931) 964-4533
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
167439143
TN
Other
Enumeration date
12/01/2010
Last updated
12/07/2010
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