| NPI | 1417350695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCKSAND MARTIN Owner/ Director 423-309-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-03 |