| NPI | 1194363960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNETIA KEARNEY Co Owner 901-318-6344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 251C00000X | |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 302F00000X Exclusive Provider Organization | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 347C00000X Private Vehicle | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |