Organization
RETIRE AT HOME SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAHIR RAJAB RN (PRESIDENT)
(256) 499-0984
Entity
Organization
Contact information
Practice address
501 MOSE DR, SPARTA, TN 38583-1212
(615) 567-5852
(866) 704-5370
Mailing address
501 MOSE DR, SPARTA, TN 38583-1212
(615) 567-5852
(866) 704-5370
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
L000000009368
TN
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445263
—
TN
Enumeration date
10/20/2011
Last updated
06/07/2021
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