# BATH NURSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700486628
- **Authorized official:** YOLANDER KING (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (901) 650-6838

## Contact information

- **Practice address:** 5634 HEARTWOOD DR, MEMPHIS, TN 38135-1012
- **Practice address phone:** (901) 650-6838
- **Mailing address:** 5634 HEARTWOOD DR, MEMPHIS, TN 38135-1012
- **Mailing address phone:** (901) 650-6838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2020
- **Last updated:** 10/29/2020