| NPI | 1073898714 |
|---|---|
| Doing Business As | JELLICO COMMUNITY HOSPITAL WOUND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | EVELYN GHULAM Controller 423-784-1334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2016-03-10 |