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NPI Code Detail

MEDICARE: TREE OF LIFE HOMECARE, LLC

MEDICARE: TREE OF LIFE HOMECARE, LLC
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
1253Z00000XIn Home Supportive Care Agency
23747A0650XAttendant Care Provider
3374U00000XHome Health Aide
4376J00000XHomemaker
5385H00000XRespite Care
63747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1780970376
Entity Type Code : Organization
Provider Name (Legal Business Name) : TREE OF LIFE HOMECARE, LLC
Provider Business Mailing Address
First Line : 71 W LITTELL DR
Second Line :
City : TRACY CITY
State : TN
Zip : 37387-5224
Country : US
Telephone Number : 931-592-8733
Fax Number : 931-592-6566
Provider Business Practice Location Address
First Line : 71 W LITTELL DR
Second Line :
City : TRACY CITY
State : TN
Zip : 37387-5224
Country : US
Telephone Number : 931-592-8733
Fax Number : 931-592-6555
Authorized Official
Title or Position : PRESIDENT A/O
Name : ROBERT H. FOSTER
Credential :
Telephone Number : 931-592-8733
Provider Enumeration Date : 06/22/2011
Last Update Date : 12/19/2023

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Directions to “TREE OF LIFE HOMECARE, LLC ” Practice Location

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