Organization
HEAVEN AT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HALL RN (OWNER)
(423) 646-9873
Entity
Organization
Contact information
Practice address
524 W CARTERS VALLEY RD, KINGSPORT, TN 37665-1008
(423) 646-9873
Mailing address
524 W CARTERS VALLEY RD, KINGSPORT, TN 37665-1008
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
0068476
TN
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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