Organization
TEAM 9 HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DAVID DAVIS (EXECUTIVE DIRECTOR)
(615) 752-7502
Entity
Organization
Contact information
Practice address
801 N 5TH ST, NASHVILLE, TN 37207-5815
(615) 752-7502
(615) 768-5161
Mailing address
PO BOX 148673, NASHVILLE, TN 37214-8673
(615) 752-7502
(615) 768-5161
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/27/2022
Last updated
04/08/2024
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