| NPI | 1518683713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET EKWERE Owner 615-686-4584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-12-28 |