Independent Living of Tennessee LLC

NPI #1205150836 in Chattanooga, Tennessee

Provider Information

NPI Number
1205150836
Entity Type
Organization
Organization Name
Independent Living of Tennessee LLC
Primary Specialty
Contractor - Home Modifications
Enumeration Date
Mar 25, 2010
Last Updated
Mar 25, 2010

Practice Location

Address
5512 RINGGOLD RD
Address 2
SUITE 210
ZIP Code
37412-3183
Phone
(423) 710-3147

Authorized Official

Name
TIMOTHY L SWAFFORD
Title
OWNER
Phone
(423) 710-3147

Specialties & Taxonomy Codes

Specialty
Contractor - Home ModificationsHome Modifications

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