Organization
NOAH'S ARC CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEJYITNU A FANTAYE (PRESIDENT/CEO)
(615) 668-8578
Entity
Organization
Contact information
Practice address
2201 MURFREESBORO PIKE STE D106, NASHVILLE, TN 37217-3619
(615) 668-8578
Mailing address
937 WHITTMORE DR, NOLENSVILLE, TN 37135-2915
(615) 688-8578
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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