| NPI | 1154141042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA WALLER VP Operations 615-723-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-16 |