Organization
RENEWED LIVING AT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SMITH WILLIAMS (OWNER)
(615) 375-1688
Entity
Organization
Contact information
Practice address
307 E COLLEGE ST, DICKSON, TN 37055-1831
(615) 375-1668
(615) 326-8270
Mailing address
307 E COLLEGE ST, DICKSON, TN 37055-1831
(615) 375-1668
(615) 326-8270
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
I000000013612
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445779
—
TN
Enumeration date
03/31/2014
Last updated
03/31/2014
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