Organization
TENNESSEE COMMUNITY SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON PATTERSON (EXECUTIVE DIRECTOR)
(731) 884-2640
Entity
Organization
Contact information
Practice address
2115 WEST MAIN STREET, UNION CITY, TN 38261
(731) 884-2640
(423) 952-6017
Mailing address
PO BOX 368, 1604 WEST REELFOOT AVENUE, UNION CITY, TN 38281-0368
(731) 884-2640
(731) 884-2644
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
10000000004397
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445-085
—
TN
Enumeration date
12/01/2009
Last updated
09/30/2024
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