Organization
CDE ONSITE SENIOR SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY DIANE DISNEY (COO)
(865) 585-0403
Entity
Organization
Contact information
Practice address
13143 EL CAMINO LN, KNOXVILLE, TN 37932-3512
(865) 256-7444
(800) 303-0672
Mailing address
13143 EL CAMINO LN, KNOXVILLE, TN 37932-3512
(865) 256-7444
(800) 303-0672
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000004354
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445154
—
TN
Enumeration date
06/24/2007
Last updated
10/20/2009
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