Organization
INSPIRED BY LOVE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYWANA STATEN (C.E.O./ ADMINISTRATOR)
(615) 995-0359
Entity
Organization
Contact information
Practice address
257 MAXWELL PL, ANTIOCH, TN 37013
(615) 806-8373
Mailing address
257 MAXWELL PL, ANTIOCH, TN 37013-5814
(615) 995-0359
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
I000000020559
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029784
—
TN
Enumeration date
08/05/2017
Last updated
07/21/2022
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