| NPI | 1063230894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMESHIA BRUNSON Owner 901-432-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-12-18 |