| NPI | 1144756891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON PAYNE Executive Director 423-718-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: TN 159069) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN 159069) |
| 253Z00000X In Home Supportive Care | |
| 305R00000X Preferred Provider Organization (Licence: TN lpn0000052001) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |