| Lifecare Family Services | |
|
103 Jv Mangubat Dr Medical Office-suite C Waynesboro TN 38485-2440 | |
| (615) 781-0013 | |
| Not Available |
| Full Name | Lifecare Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 103 Jv Mangubat Dr, Waynesboro, Tennessee |
| Authorized Official Name and Position | Landon Kent Mauck (HR COORDINATER) |
| Authorized Official Contact | 6157810013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecare Family Services 103 Jv Mangubat Dr Medical Office-suite C Waynesboro TN 38485-2440 Ph: () - | Lifecare Family Services 103 Jv Mangubat Dr Medical Office-suite C Waynesboro TN 38485-2440 Ph: (615) 781-0013 |
| NPI Number | 1053691063 |
|---|---|
| Provider Enumeration Date | 08/22/2011 |
| Last Update Date | 08/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053691063 | NPI | - | NPPES |
| 3376955 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (Tennessee) | Primary |
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Wayne Provision Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Andrew Jackson Drive, Waynesboro, TN 38485 Phone: 931-722-6366 |