Organization
JACKSON HOME CARE SERVICES LLC
Active
Other names
Tennova Home Care - Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK TODD LYLES (SR VICE PRESIDENT)
(502) 891-1044
Entity
Organization
Contact information
Practice address
37 SANDSTONE CIR, STE 201, JACKSON, TN 38305-2073
(731) 736-3700
(731) 736-3704
Mailing address
9510 ORMSBY STATION RD, STE 300, LOUISVILLE, KY 40223-4081
(502) 891-1187
(502) 891-8067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0000000178
TN
Other
Enumeration date
06/18/2006
Last updated
01/09/2017
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