| NPI | 1689411290 |
|---|---|
| Former Legal Business Name | ISAD |
| Entity Type | Organization |
| Authorized Contact | WAYNE BEDIAKO CEO 865-236-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |