| NPI | 1053836593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYWANA STATEN C.E.O./ Administrator 615-995-0359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN I000000020559) |
| Enumeration Date | 2017-08-05 |
| Last Update Date | 2022-07-21 |