NPI | 1215036702 |
---|---|
Doing Business As | EXTENDICARE HOME HEALTH OF WESTERN TENNESSEE |
Entity Type | Organization |
Authorized Contact | DONALD D. STELLY President 337-233-1307 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: TN 00000188) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2013-08-08 |