ANOTHER CHANCE AT LIFE INC.


Address: 4220 Dayton Blvd, Suite F, Red Bank, TN 37415-2790
Phone: 8663889514

ANOTHER CHANCE AT LIFE INC. (NPI# 1497031140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497031140
Entity Type Organization
Organization Name ANOTHER CHANCE AT LIFE INC.
Practice Address 4220 Dayton Blvd
Suite F
Red Bank
TN 37415-2790
Mailing Address 424 Vance Ln
Lebanon
TN 37087-0368
Practice Telephone 8663889514
Mailing Telephone 8663744673
Mailing Fax Number 6154532609
Enumeration Date 2011-10-26
Last Update Date 2013-11-18
Authorized Official Name MR. BILLY J BOOTH (DIRECTOR)
Authorized Official Telephone 6158043551
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 4220 DAYTON BLVD
SUITE F
City RED BANK
State TN
Zip Code 37415-2790

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1700241783 Megan D. Vonwerssowetz Nurse Practitioner 3905 Hixson Pike, Suite 103, Chattanooga, TN 37415 2015-12-17
1457748501 Jon Caleb Hildebrand Ophthalmology 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 2015-04-15
1699044487 Constance Chamberlain Wise Dentist 4300 Dayton Blvd, Chattanooga, TN 37415 2011-12-22
1033403969 Stephen Denney Muller Counselor 2120 Northgate Pk Ln Ste 201, New Beginnings Counseling Center, Chattanooga, TN 37415 2011-06-08
1619115938 Connie Elizabeth Fesmire Registered Nurse 3119 Reflecting Drive, Chattanooga, TN 37415 2009-01-23
1205972395 Ella Grace Ford Social Worker 2120 Northgate Park Ln Ste 201, Chattanooga, TN 37415 2007-01-29
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City RED BANK
Zip Code 37415

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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