EXTENDICARE OF WEST TENN

JACKSON, TN
NPI1437143492
Entity TypeOrganization
Authorized ContactMARSHA D KELLY
CEO
731-668-1372
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
(Licence: TN  0000000120)
Enumeration Date2005-09-07
Last Update Date2020-08-22
Business Address
EXTENDICARE OF WEST TENN
90 DIRECTORS ROW
JACKSON, TN 38305-2345
Phone number: 731-668-1372
Mailing Address
EXTENDICARE OF WEST TENN
90 DIRECTORS ROW P O BOX 3482
JACKSON, TN 38305-2345
Phone number: 731-668-1372