| NPI | 1013211812 |
|---|---|
| Doing Business As | COLEMANS PERSONAL SUPPORT SERVICE |
| Entity Type | Organization |
| Authorized Contact | LEONARD NA COLEMAN President /Director 423-698-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN 1000000006855) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: TN 1000000006855) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |