| NPI | 1528655388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA ADDISON Owner 901-282-9124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2020-12-28 |