Organization
HEMPHILL SUPPORTIVE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHUNDA HEMPHILL (OWNER)
(423) 432-7908
Entity
Organization
Contact information
Practice address
102 JORDAN DR, CHATTANOOGA, TN 37421-6731
(423) 432-7908
Mailing address
201 EADS ST APT 133, CHATTANOOGA, TN 37412-4082
(423) 432-7908
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q072620
—
TN
Enumeration date
11/10/2022
Last updated
12/12/2022
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