Organization Name: | TREE OF LIFE HOMECARE, LLC |
NPI Number: | 1780970376 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT H. FOSTER (PRESIDENT) |
Mailing Address: | 71 W Littell Dr Tracy City |
State: | TN US |
Postal Code: | 373875224 |
Phone Number: | 9315928733 |
Fax Number: | 9315926555 |
NPI Enumeration Date: | 06/22/2011 |
NPI Last Update Date: | 06/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |