Organization
FAMILIAR FACES HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON ISAIAH GREGORY (PRESIDENT)
(865) 348-0199
Entity
Organization
Contact information
Practice address
514 LOYSTON RD, MAYNARDVILLE, TN 37807-2200
(254) 768-4740
Mailing address
514 LOYSTON RD, MAYNARDVILLE, TN 37807-2200
(423) 504-7121
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/14/2020
Last updated
03/15/2022
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