Organization Name: | CHILDREN'S HOSPITAL HOME HEALTH CARE |
NPI Number: | 1093016289 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RON J PHILLIPS (DIRECTOR OF HOME HEALTH) |
Mailing Address: | 11227 W Point Dr Farragut |
State: | TN US |
Postal Code: | 379342838 |
Phone Number: | 8656758181 |
Fax Number: | 8656758111 |
NPI Enumeration Date: | 11/04/2010 |
NPI Last Update Date: | 11/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | 0000003162 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |