Organization
LEANN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA LYNNIASE MCGOUGHY (MANAGER)
(731) 506-9222
Entity
Organization
Contact information
Practice address
33 RAWLIG WOOD COVE AVE, JACKSON, TN 38305
(731) 506-9222
(731) 506-3580
Mailing address
33 RAWLINGWOOD CV, JACKSON, TN 38305-8580
(731) 506-9222
(731) 506-3580
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
3104A0625X
TN
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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