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Organization
RETIRE AT HOME SENIOR CARE LLC
Active
Organization
RETIRE AT HOME SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAHIR RAJAB RN (PRESIDENT)
(256) 499-0984
Entity
Organization
Contact information
Practice address
501 MOSE DR, SPARTA, TN 38583-1212
(615) 567-5852
(866) 704-5370
Mailing address
501 MOSE DR, SPARTA, TN 38583-1212
(615) 567-5852
(866) 704-5370
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
L000000009368
TN
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445263
—
TN
Enumeration date
10/20/2011
Last updated
06/07/2021
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