| NPI | 1760243919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINETTE D JACKSON Director 901-557-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |