| NPI | 1932564838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEEKA KELLY Don 731-343-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: TN 83001) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: TN 17750) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 253Z00000X In Home Supportive Care (Licence: TN 17750) | |
| 251B00000X Case Management (Licence: TN 212116) | |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2016-06-17 |