MEDICARE: RIGHT CHOICE HOMECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1396212502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIGHT CHOICE HOMECARE

Provider Business Mailing Address
First Line	:	122 WOODSTOCK LN
Second Line	:
City	:	ROCKY TOP
State	:	TN
Zip	:	37769-5206
Country	:	US
Telephone Number	:	865-294-0110
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 WOODSTOCK LN
Second Line	:
City	:	ROCKY TOP
State	:	TN
Zip	:	37769-5206
Country	:	US
Telephone Number	:	865-294-0110
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	PAUL FORD
Credential	:
Telephone Number	:	865-294-0110

Provider Enumeration Date	:	10/25/2018
Last Update Date	:	10/25/2018

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