Organization
SITTERS ETC., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEAU KEVIN BROTHERS (PRESIDENT)
(615) 373-3133
Entity
Organization
Contact information
Practice address
278 FRANKLIN RD, SUITE 103, BRENTWOOD, TN 37027-5224
(615) 373-3133
(615) 373-3414
Mailing address
278 FRANKLIN RD, SUITE 103, BRENTWOOD, TN 37027-5224
(615) 373-3133
(615) 373-3414
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000003268
TN
253Z00000X
In Home Supportive Care Agency
L000000003682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H445005
TENNCARE PROVIDER NUMBER
TN
Enumeration date
06/18/2009
Last updated
06/18/2009
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