Individual
MRS. ELIZABETH REASHELLE DRIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 CANTON CT, GOODLETTSVILLE, TN 37072-2173
(615) 483-4872
Mailing address
PO BOX 1852, GOODLETTSVILLE, TN 37070-1852
(615) 483-4872
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
00131591
TN
372600000X
Adult Companion
00131591
TN
374U00000X
Home Health Aide
00131591
TN
376J00000X
Homemaker
Primary
00131591
TN
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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