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Organization
BLUE VIOLET HOME CARE AND COMMUNITY SERVICES L.L.C.
Active
Organization
BLUE VIOLET HOME CARE AND COMMUNITY SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH JERRY KILGORE (OWNER)
(423) 939-0213
Entity
Organization
Contact information
Practice address
4571 MAIN ST STE C, JASPER, TN 37347-3507
(423) 939-0213
Mailing address
4571 MAIN ST STE C, JASPER, TN 37347-3507
(423) 939-0213
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/27/2023
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