Life House, LLC

NPI #1982942421 in Cookeville, Tennessee

Provider Information

NPI Number: 1982942421
Entity Type: Organization
Organization Name: Life House, LLC
Primary Specialty: Hospice, Inpatient
Enumeration Date: Jan 17, 2013
Last Updated: Jan 17, 2013

Practice Location

Address: 570 STATE ST
City: Cookeville
State: Tennessee
ZIP Code: 38501-3718
Phone: (931) 881-6417

Authorized Official

Name: MS. CONNIE MITCHELL
Title: PRESIDENT
Phone: (931) 881-6417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospice, Inpatient	315D00000X	Primary

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