NPI | 1619250479 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH DIANNE RICKETTS Owner/Operator 865-399-4615 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN 1000000009553) |
Enumeration Date | 2011-09-27 |
Last Update Date | 2011-09-27 |