Organization
PROVIDENCE COMPANION CARE OF TN 1, LLC
Active
Other names
Providence Companion Care
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER L SIMPSON (MANAGING PARTNER)
(423) 220-1266
Entity
Organization
Contact information
Practice address
600 N STATE OF FRANKLIN RD, SUITE 10, JOHNSON CITY, TN 37604-8226
(423) 220-1266
(866) 404-0950
Mailing address
600 N STATE OF FRANKLIN RD, SUITE 10, JOHNSON CITY, TN 37604-8226
(423) 220-1266
(866) 404-0950
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
I000000018767
TN
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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