Organization
PARADISE HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUSSIF AHMED GURUZA PHTEC (MANAGER)
(865) 255-2994
Entity
Organization
Contact information
Practice address
603 JADE RD, KNOXVILLE, TN 37919-3132
(865) 255-2994
Mailing address
603 JADE RD, KNOXVILLE, TN 37919-3132
(865) 255-2994
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823662407
—
TN
Enumeration date
12/05/2018
Last updated
12/05/2018
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