| NPI | 1881134013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA JEAN PEGUES Owner 901-831-2423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: MS P316596) |
| 311Z00000X Custodial Care Facility | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2020-09-10 |