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NPI Code Detail

MEDICARE: SAINT THOMAS HOME HEALTH

MEDICARE: SAINT THOMAS HOME HEALTH
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
1251E00000XHome Health Agency0000000125TN

General Provider Information

NPI Number : 1982630653
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT THOMAS HOME HEALTH
Provider Business Mailing Address
First Line : 135 E SWAN ST
Second Line :
City : CENTERVILLE
State : TN
Zip : 37033-1417
Country : US
Telephone Number : 931-729-4500
Fax Number : 931-729-9000
Provider Business Practice Location Address
First Line : 135 E SWAN ST
Second Line :
City : CENTERVILLE
State : TN
Zip : 37033-1417
Country : US
Telephone Number : 931-729-4500
Fax Number : 931-729-9000
Authorized Official
Title or Position : ADMINISTRATOR
Name : WANDA HULLETT
Credential : RN
Telephone Number : 931-729-4500
Provider Enumeration Date : 06/24/2006
Last Update Date : 12/12/2013

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Directions to “SAINT THOMAS HOME HEALTH ” Practice Location

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