Healthcare Provider Details

I. General information

NPI: 1548211717
Provider Name (Legal Business Name): VOLUNTEER HOME CARE OF WEST TENNESSEE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 07/19/2021
Certification Date: 07/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 W MAIN ST
PARSONS TN
38363-2012
US

IV. Provider business mailing address

68 W MAIN ST
PARSONS TN
38363-2012
US

V. Phone/Fax

Practice location:
  • Phone: 731-847-8250
  • Fax: 731-847-8255
Mailing address:
  • Phone: 731-847-8250
  • Fax: 731-847-8255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number00000063
License Number StateTN

VIII. Authorized Official

Name: MR. ROBERT A WOFFORD
Title or Position: PRESIDENT
Credential:
Phone: 901-388-3000