| Lifecare Family Services | |
|
663 South Jefferson Ave Cookeville TN 38501 | |
| (931) 528-0051 | |
| Not Available |
| Full Name | Lifecare Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 663 South Jefferson Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Landon Kent Mauck (HR COORDINATOR) |
| Authorized Official Contact | 61578010013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecare Family Services 663 South Jefferson Ave Cookeville TN 38501 Ph: (931) 528-0051 | Lifecare Family Services 663 South Jefferson Ave Cookeville TN 38501 Ph: (931) 528-0051 |
| NPI Number | 1336475888 |
|---|---|
| Provider Enumeration Date | 10/19/2009 |
| Last Update Date | 10/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336475888 | NPI | - | NPPES |
| 3376955 | Other | TN | GROUP MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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