Organization
BLUE VIOLET HOME CARE AND COMMUNITY SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH JERRY KILGORE (OWNER)
(423) 939-0213
Entity
Organization
Contact information
Practice address
4571 MAIN ST STE C, JASPER, TN 37347-3507
(423) 939-0213
Mailing address
4571 MAIN ST STE C, JASPER, TN 37347-3507
(423) 939-0213
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/27/2023
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