Individual
CHASTITY DONIELLE CROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
130 E WASHINGTON AVE STE 4, ATHENS, TN 37303-3668
(423) 453-2200
(423) 453-2223
Mailing address
130 E WASHINGTON AVE STE 4, ATHENS, TN 37303-3668
(423) 453-2200
(423) 453-2223
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000022719
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000000022719
TENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
TN
Enumeration date
04/04/2019
Last updated
12/27/2021
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