Organization
AEB, LLC DBA VISITING ANGELS OF NASHVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BOYNTON (DIRECTOR)
(615) 646-1594
Entity
Organization
Contact information
Practice address
750 OLD HICKORY BLVD BLDG 2, SUITE 150, BRENTWOOD, TN 37027-4528
(615) 646-1594
Mailing address
750 OLD HICKORY BLVD BLDG 2, SUITE 150, BRENTWOOD, TN 37027-4528
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
I000000004120
TN
320700000X
Physical Disabilities Residential Treatment Facility
I000000004120
TN
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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