| Lifecare Family Services | |
|
2971 Fort Henry Dr Kingsport TN 37664-4005 | |
| (615) 781-0013 | |
| Not Available |
| Full Name | Lifecare Family Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2971 Fort Henry Dr, Kingsport, Tennessee |
| Authorized Official Name and Position | Landon Mauck (HR DIRECTOR) |
| Authorized Official Contact | 6157810013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecare Family Services 2971 Fort Henry Dr Kingsport TN 37664-4005 Ph: (615) 781-0013 | Lifecare Family Services 2971 Fort Henry Dr Kingsport TN 37664-4005 Ph: (615) 781-0013 |
| NPI Number | 1598198335 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 08/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598198335 | NPI | - | NPPES |
| 3376955 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Tennessee) | Primary |
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