Provider Demographics
NPI:1225743438
Name:TENNESSEE HEALTH. MARILYN LEE LLC
Entity Type:Organization
Organization Name:TENNESSEE HEALTH. MARILYN LEE LLC
Other - Org Name:TENNESSEE HEALTH. MARILYN LEE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-320-0030
Mailing Address - Street 1:2441 OLD NILES FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37803-8801
Mailing Address - Country:US
Mailing Address - Phone:865-320-0030
Mailing Address - Fax:
Practice Address - Street 1:2441 OLD NILES FERRY RD
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37803-8801
Practice Address - Country:US
Practice Address - Phone:865-320-0030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty