| NPI | 1295455921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WATERS Owner 901-644-8264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-19 |