| NPI | 1285936880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE JACKSON Program Director 615-254-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN 1000000006337) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |