| NPI | 1811601180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA GAYLE JACKSON Administrator 423-355-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |