| NPI | 1295007839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA WILLENE JOHNSON Executive Director 615-915-4074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN 7929) |
| Additional Taxonomies | 251C00000X (Licence: TN 7929) |
| 385H00000X Respite Care (Licence: TN 7929) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN 7929) | |
| 253Z00000X In Home Supportive Care (Licence: TN 7929) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 7929) | |
| Enumeration Date | 2012-01-28 |
| Last Update Date | 2012-02-01 |