Organization
WELLMONT HEALTH SYSTEM, INC
Active
Other names
Wellmont Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL J KAWCHAK (INTERIM DIRECTOR)
(423) 230-8475
Entity
Organization
Contact information
Practice address
2971 FORT HENRY DR, KINGSPORT, TN 37664-4005
(423) 230-8450
(423) 245-7874
Mailing address
2971 FORT HENRY DR, KINGSPORT, TN 37664-4005
(423) 230-8450
(423) 245-7874
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0000000249
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000249
STATE LICENSE
TN
Enumeration date
11/07/2005
Last updated
08/22/2020
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