| NPI | 1598055162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY LEE QUEEN Owner 423-252-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TN 0164603) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TN 0047755) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |