Extendicare Of West Tn

LBN: Extendicare Of West Tn
Extendicare Of West Tn is an health care organization with primary practice located at 250 N Parkway Suite 4, Jackson TN 38305-2735. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health. Agencies / Home Health is the primary health care specialty. Extendicare Of West Tn can be contacted via phone (731) 668-1372, or through King, Shelley Dawn via phone (731) 660-2171.

Contact Information

Primary practice address
250 N Parkway Suite 4 Jackson TN 38305-2735
Phone: (731) 668-1372
Fax: (731) 664-9919
Website:
Map and Directions
Authorized official contact:
Name: King, Shelley Dawn Physical Therapist Assistant (PTA)
Phone: (731) 660-2171

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 4019 Tennessee
Agencies / Home Health 251E00000X 4019 Tennessee

Profile Details

NPI number 1356606735
LBN Legal business name Extendicare Of West Tn
DBA Doing business as
Authorized official King, Shelley Dawn Physical Therapist Assistant (PTA)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 11th, 2012
Last updated Jul 11th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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