Extendicare of West Tn
Extendicare of West Tn is a Developmentally Disabled Services Day Training Agency in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.
- Licensed in
- TN
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
250 N Pkwy Ste 4Jackson, TN 38305-2735
Phone: (731) 668-1372
Fax: (731) 664-9919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X · Licence 4019 (TN) |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X · Licence 4019 (TN) |
Record details
| NPI number | 1356606735 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Lhc Group |
| Authorized official | Shelley King — Hysical Therapist Assistant · (731) 660-2171 |
| NPI enumerated | July 11, 2012 |
| Last updated in NPPES | July 11, 2012 |
| Mailing address | 97 Thornfield Dr, Bells, TN 38006-5128 |
Other providers in Jackson
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Golden Moments Home Care, LLC
201 Airways Blvd, Jackson, TN 38301-5800 · (731) 217-7888
-
Madison Haywood County Developmental Services, Inc
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-
Ross-Steed Support Services LLC
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-
Sitters & More, Inc
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