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Organization
HOME CARE PREFERENCE
Active
Organization
HOME CARE PREFERENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELPHINE ASONFAC BURDICK (OWNER)
(615) 603-1636
Entity
Organization
Contact information
Practice address
1800 MALLORY LN STE D, BRENTWOOD, TN 37027-2818
(615) 916-0664
Mailing address
1800 MALLORY LN STE D, BRENTWOOD, TN 37027-2818
(615) 258-5539
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
253Z00000X
In Home Supportive Care Agency
Primary
1000000018966
TN
Other
Enumeration date
10/20/2016
Last updated
12/07/2024
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