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Lifeline Of West Tennessee, Llc
Home Health Agency in Dyersburg, Tennessee
NPI 1821288572

Lifeline Of West Tennessee, Llc is a Home Health Agency based in Lafayette, TN. Lifeline Of West Tennessee, Llc practices in Dyersburg, TN. The NPI Number for Lifeline Of West Tennessee, Llc is 1821288572 and holds a License No. 00000120 (Tennessee).

The current practice location address for Lifeline Of West Tennessee, Llc is 620 Mall Blvd Ste C1, Dyersburg, TN and can be reached out via phone at 731-285-5121 and via fax at 731-285-5122.

Location: 620 Mall Blvd Ste C1, Dyersburg, TN, 70505-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821288572
Provider Name
Lifeline Of West Tennessee, Llc
Credential
Provider Entity Type
Organization
Address
620 Mall Blvd Ste C1, Dyersburg, TN, 70505-1266
Phone Number
731-285-5121
Fax Number
731-285-5122
Provider Enumeration Date
07/30/2007
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0447284 05 TN
institution
Provider Business Practice Location Address Details
Address
620 Mall Blvd Ste C1
City
Dyersburg
State
Tennessee
Zip
38024-1649
Phone Number
731-285-5121
Fax Number
731-285-5122
person
Provider Business Mailing Address Details
Address
620 Mall Blvd Ste C1
City
Dyersburg
State
Tennessee
Zip
38024-1649
Phone Number
731-285-5121
Fax Number
731-285-5122
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
00000120 (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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