| NPI | 1508666983 |
|---|---|
| Doing Business As | LOON LAKE LIVING CARE INC |
| Entity Type | Organization |
| Authorized Contact | DEK A HAJI Manager 615-308-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2025-03-15 |
| Last Update Date | 2025-03-15 |