Organization
SILVER ANGELS OF TENNESSEE - SEVIER, LLC
Active
Parent organization
SILVER ANGELS OF TENNESSEE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SILVER ANGELS OF TENNESSEE, LLC
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7800
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7800
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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