| Lifecare Family Services | |
|
1911 Michigan Avenue Jamestown TN 38556 | |
| (931) 879-9980 | |
| (931) 879-9988 |
| Full Name | Lifecare Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1911 Michigan Avenue, Jamestown, Tennessee |
| Authorized Official Name and Position | Landon Kent Mauck (HR COORDINATOR) |
| Authorized Official Contact | 6157810013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecare Family Services 1911 Michigan Avenue Jamestown TN 38556 Ph: (931) 879-9980 | Lifecare Family Services 1911 Michigan Avenue Jamestown TN 38556 Ph: (931) 879-9980 |
| NPI Number | 1437472248 |
|---|---|
| Provider Enumeration Date | 03/08/2010 |
| Last Update Date | 03/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437472248 | NPI | - | NPPES |
| 3376955 | Other | TN | GROUP MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6060 (Tennessee) | Primary |
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