| NPI | 1194431502 |
|---|---|
| Former Legal Business Name | FAMILY CHRISTIAN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER D WALKER Owner Physician Assistant 423-599-9347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-06-22 |