Organization
CLARA BUTLER NURSING AND PERSONAL CARE SERVICE INC. FOR AGING AND DISA
Active
Organization
CLARA BUTLER NURSING AND PERSONAL CARE SERVICE INC. FOR AGING AND DISA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA BUTLER (EXECUTIVE DIRECTOR/OWNER)
(901) 314-3112
Entity
Organization
Contact information
Practice address
4210 ALTRURIA RD STE 102, BARTLETT, TN 38135-9241
(901) 314-3112
(901) 266-2435
Mailing address
4210 ALTRURIA RD STE 102, BARTLETT, TN 38135-9241
(901) 314-3112
(901) 266-2435
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
S7894
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
S7894
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017814
—
TN
Enumeration date
01/06/2012
Last updated
12/07/2016
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