| NPI | 1154714335 |
|---|---|
| Former Legal Business Name | NA |
| Entity Type | Organization |
| Authorized Contact | JOEL FRIDAY IDON Owner/Director 615-586-7616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TN 1000000013483) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN 1000000013483) |
| 251J00000X Nursing Care (Licence: TN 1000000013483) | |
| 253Z00000X In Home Supportive Care (Licence: 1000000013483) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |