Organization
YOUR HOME TEAM CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R. STALEY JR. MD (OWNER)
(865) 604-5071
Entity
Organization
Contact information
Practice address
6130 LONAS DR, KNOXVILLE, TN 37909-3233
(865) 604-5071
Mailing address
PO BOX 11772, KNOXVILLE, TN 37939-1772
(865) 604-5071
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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