Organization
BENCHMARK CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINIFRED OTARU (OWNER/MEMBER)
(615) 482-3379
Entity
Organization
Contact information
Practice address
892 PIN OAK DR, ANTIOCH, TN 37013-1532
(615) 482-3379
Mailing address
892 PIN OAK DR, ANTIOCH, TN 37013-1532
(615) 482-3379
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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