EXTENDICARE OF WEST TENN
Organization (NPI-2)
Active
Home Health
Provider Information
- NPI Number
1437143492- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 90 DIRECTORS ROW, JACKSON, TN, 383052345
- Phone
- (731) 668-1372
- Fax
- (731) 664-9919
Specialties & Taxonomies
Home Health
Primary License: TN #0000000120