Organization
ENTIRE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENZO ENIAS JONGA (ADMINISTRATOR)
(615) 775-6690
Entity
Organization
Contact information
Practice address
3001 HAMILTON CHURCH RD, UNIT 443, ANTIOCH, TN 37013-1492
(615) 775-6690
Mailing address
3001 HAMILTON CHURCH RD UNIT 443, ANTIOCH, TN 37013-7411
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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