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Organization
SARA LOVING CARE
Active
Organization
SARA LOVING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI DANIAL ABUJABER (GENERAL MANAGER)
(731) 935-9569
Entity
Organization
Contact information
Practice address
1053 PERRY SWITCH RD, JACKSON, TN 38301-9561
(731) 935-9569
Mailing address
9407 CANABRIDGE DR, LAKELAND, TN 38002-4179
(731) 935-9569
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
09/21/2023
Last updated
09/25/2024
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