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Homenstead Healthcare Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
HOMENSTEAD HEALTHCARE LLC13660442572020-11-15
Entity TypeOrganization
Provider OrganizationHOMENSTEAD HEALTHCARE LLC
Practice Office Address1004 RUSSELL RIDGE ROAD
CROSSVILLE, TN US
Practice Office Telephone9312617421
Mailing Address1004 RUSSELL RIDGE ROAD
CROSSVILLE, TN 38555 US
Business Telephone9312617421
Authorized OfficialLYNNDY JO BYRGE, OWNER/CEO
9312617421
HPT Codes
CodeLicense NoState
251B00000X
251J00000X
253Z00000X PRIMARY
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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