| NPI | 1962295675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA POKU Director 615-470-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 385H00000X Respite Care | |
| 251E00000X Home Health | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-07-24 |