Organization
GREAT PERSONAL CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PORTER (AUTHORIZED OFFICIAL)
(478) 737-9211
Entity
Organization
Contact information
Practice address
2412 E 12TH ST, CHATTANOOGA, TN 37404-4601
(423) 269-8856
Mailing address
2412 E 12TH ST, CHATTANOOGA, TN 37404-4601
(423) 541-8372
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
12/19/2024
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