Individual
RENA PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 MAX LANE DR STE 3, JACKSON, TN 38305-2835
(731) 694-8058
Mailing address
25 MAX LANE DR STE 3, JACKSON, TN 38305-2835
(731) 694-8058
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000035705
TN
3747A0650X
Attendant Care Provider
L000000035705
TN
3747P1801X
Personal Care Attendant
L000000035705
TN
374U00000X
Home Health Aide
L000000035705
TN
376J00000X
Homemaker
L000000035705
TN
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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