| NPI | 1164758397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH CUSICK Billing Supervisor 865-694-4848 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: TN 610) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2022-07-21 |