Organization
TK HOME KARING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIESHA HAZELRAY (PROVIDER/CNA)
(423) 432-9401
Entity
Organization
Contact information
Practice address
209 CROLL CT APT 125, CHATTANOOGA, TN 37410-1017
(423) 432-9401
Mailing address
PO BOX 80232, CHATTANOOGA, TN 37414-7232
(440) 895-7316
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/21/2018
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