| NPI | 1710593082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA REBECCA KETEKU Owner 615-293-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2022-04-06 |