| NPI | 1376817478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYELL CUSHMAN Owner 901-270-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN RRT-450) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |