Organization
PASSION HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEQUILA BROOKS (CEO)
(615) 336-6571
Entity
Organization
Contact information
Practice address
2005 QUAIL RIDGE DR, NASHVILLE, TN 37207-1057
(615) 336-6571
Mailing address
PO BOX 70083, NASHVILLE, TN 37207-0083
(615) 336-6571
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000019142
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q024838
—
TN
Enumeration date
11/21/2016
Last updated
11/21/2016
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