Organization
IMPERIAL HOME HEALTH AND LEISURE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE V MILLER CNA (OWNER/MANAGER)
(615) 663-7258
Entity
Organization
Contact information
Practice address
1423 CASON TRL, MURFREESBORO, TN 37128-6750
(615) 663-7258
Mailing address
1423 CASON TRL, MURFREESBORO, TN 37128-6750
(615) 663-7258
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2012104280
TN
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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