| NPI | 1093949539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMBA LASHEA JACKSON Certified Nursing Assistant 901-281-5759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: TN 00106545) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TN 00106545) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |