NPI | 1154600807 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS MMBAGA Executive Director 615-896-8231 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: TN L00000000774) |
Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TN L000000007744) |
Enumeration Date | 2011-08-12 |
Last Update Date | 2025-01-21 |