| NPI | 1891147476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAKETA YVETTE CRAPENTER Owner 901-319-5983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |