Organization
BREAD OF LIFE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA THOMAS (OWNER)
(229) 289-2456
Entity
Organization
Contact information
Practice address
1201 11TH AVE S, NASHVILLE, TN 37203-4901
(156) 244-1456
Mailing address
1033 3RD ST SE, CAIRO, GA 39828-3002
(229) 289-2456
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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