| NPI | 1407025539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DURBIN Chief Executive Officer 901-383-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN L3(20)4M4-038-6644) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: TN PSS0000000274) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2010-01-07 |