| NPI | 1831420314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYCOLE CAVINS Owner 901-864-8602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TN 109005845) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: TN 109005845) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TN 109005845) | |
| 251J00000X Nursing Care (Licence: TN 109005845) | |
| 253Z00000X In Home Supportive Care (Licence: TN 109005845) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 109005845) | |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |