Organization
HENSLEY AND JOHNSON LLC
Active
Other names
Helping Hearts
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY MODENA RAY RN (RN/ADMINISTRATOR)
(931) 224-9039
Entity
Organization
Contact information
Practice address
821 W JACKSON ST, COOKEVILLE, TN 38501-5940
(931) 528-4663
Mailing address
821 W JACKSON ST, COOKEVILLE, TN 38501-5940
(931) 528-4663
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN0000119672
TN
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN0000119672
TN
374700000X
Technician
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
03/12/2012
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