| NPI | 1609167527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MODENA RAY RN/Administrator 931-224-9039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: TN RN0000119672) |
| 374700000X Technician | |
| 3747A0650X Technician Attendant Care Provider | |
| 3747P1801X Technician Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 163WC1600X Registered Nurse Continuing Education/Staff Development (Licence: TN RN0000119672) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2012-03-12 |