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Organization

BACK ON TRACK OVER TN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTONIO HUGHES CNA (DIRECTOR OF OPERATIONS)
(865) 393-9339
Entity
Organization

Contact information

Practice address
3936 SELMA AVE, KNOXVILLE, TN 37914-4855
(865) 556-4939
(865) 393-9339
Mailing address
3936 SELMA AVE, KNOXVILLE, TN 37914-4855
(865) 556-4939
(865) 393-9339

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251S00000X
Community/Behavioral Health Agency
261QC1500X
Community Health Clinic/Center
315D00000X
Inpatient Hospice

Other

Enumeration date
04/19/2024
Last updated
11/08/2025
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