Organization
GREENLEAF HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCHLONDA STATEN (OWNER)
(731) 467-0473
Entity
Organization
Contact information
Practice address
1097 MT PINSON RD, JACKSON, TN 38301-9132
(731) 467-0473
Mailing address
1097 MT PINSON RD, JACKSON, TN 38301-9132
(731) 467-0473
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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