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Organization

CAMELLIA HOME HEALTH OF SOUTHEAST TENNESSEE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILFORD A PAYNE III (PRESIDENT / CEO)
(601) 544-2903
Entity
Organization

Contact information

Practice address
6711 MOUNTAIN VIEW RD, SUITE 105, OOLTEWAH, TN 37363-6668
(423) 414-3017
(423) 238-1199
Mailing address
135 MAYFAIR RD, HATTIESBURG, MS 39402-1464
(601) 544-2903
(601) 579-6991

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
107
TN

Other

Enumeration date
06/19/2013
Last updated
06/19/2013
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