| NPI | 1730333535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY DOBSON Owner 931-381-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN L438-058-8267) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: TN L000000010903) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2018-08-23 |