Organization
REPLENISH PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALANDRA WILLIAMS (OWNER)
(615) 433-3812
Entity
Organization
Contact information
Practice address
13117 MONTHAVEN PARK PL, HENDERSONVILLE, TN 37075-7042
(615) 433-3812
Mailing address
13117 MONTHAVEN PARK PL, HENDERSONVILLE, TN 37075-7042
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000016174
TN
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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