Provider Demographics
NPI:1245617182
Name:FIRST TENNESSEE HUMAN RESOURCE AGENCY
Entity Type:Organization
Organization Name:FIRST TENNESSEE HUMAN RESOURCE AGENCY
Other - Org Name:MEALS ON WHEELS OF NORTHEAST TENNESSEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NUTRITION DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOT
Authorized Official - Middle Name:
Authorized Official - Last Name:NELMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-461-8217
Mailing Address - Street 1:704 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-7264
Mailing Address - Country:US
Mailing Address - Phone:423-461-8217
Mailing Address - Fax:
Practice Address - Street 1:704 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-7264
Practice Address - Country:US
Practice Address - Phone:423-461-8217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST TENNESSEE HUMAN RESOURCE AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-29
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals