| NPI | 1356606735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY DAWN KING Hysical Therapist Assistant 731-660-2171 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: TN 4019) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN 4019) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |