Organization
MEDISTAFF, LLC
Active
Other names
At Home Healthcare of Middle Tennessee
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY D STEPHENS (REGIONAL DIRECTOR)
(615) 232-8769
Entity
Organization
Contact information
Practice address
222 JACKSON MEADOWS DR, HERMITAGE, TN 37076-1425
(615) 232-8769
Mailing address
222 JACKSON MEADOWS DR, HERMITAGE, TN 37076-1425
(615) 232-8769
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000005540
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445295
—
TN
Enumeration date
12/04/2009
Last updated
05/05/2021
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