Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Unicoi County Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN KRUTAK (EVP/CFO)
(423) 302-3423
Entity
Organization
Contact information
Practice address
100 GREENWAY CIR, ERWIN, TN 37650-2177
(423) 743-3141
(423) 743-1244
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 743-3141
(423) 743-1244
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TN
Other
Enumeration date
11/05/2013
Last updated
03/29/2018
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