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Extendicare Of West Tenn
Home Health Agency in Jackson, Tennessee
NPI 1437143492

Extendicare Of West Tenn is a Home Health Agency based in Jackson, TN. Extendicare Of West Tenn practices in Jackson, TN. The NPI Number for Extendicare Of West Tenn is 1437143492 and holds a License No. 0000000120 (Tennessee).

The current practice location address for Extendicare Of West Tenn is 90 Directors Row, Jackson, TN and can be reached out via phone at 731-668-1372 and via fax at 731-664-9919.

Location: 90 Directors Row, Jackson, TN, 38305-2345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437143492
Provider Name
Extendicare Of West Tenn
Credential
Provider Entity Type
Organization
Address
90 Directors Row, Jackson, TN, 38305-2345
Phone Number
731-668-1372
Fax Number
731-664-9919
Provider Enumeration Date
09/07/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
90 Directors Row
City
Jackson
State
Tennessee
Zip
38305-2345
Phone Number
731-668-1372
Fax Number
731-664-9919
person
Provider Business Mailing Address Details
Address
90 Directors Row
City
Jackson
State
Tennessee
Zip
38305-2345
Phone Number
731-668-1372
Fax Number
731-664-9919
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
0000000120 (Tennessee)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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