Provider Demographics
NPI:1235631375
Name:TRI CITI HOME HEALTH
Entity Type:Organization
Organization Name:TRI CITI HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-693-2715
Mailing Address - Street 1:8617 HIGHWAY 65
Mailing Address - Street 2:
Mailing Address - City:WATERPROOF
Mailing Address - State:LA
Mailing Address - Zip Code:71375-4523
Mailing Address - Country:US
Mailing Address - Phone:318-433-9695
Mailing Address - Fax:
Practice Address - Street 1:8617 HIGHWAY 65
Practice Address - Street 2:
Practice Address - City:WATERPROOF
Practice Address - State:LA
Practice Address - Zip Code:71375-4523
Practice Address - Country:US
Practice Address - Phone:318-433-9695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health