| NPI | 1568999381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN M CRAWLEY Owner 865-214-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN I000000018774) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |