Individual
MS. BETH EUDORA LAXSON GRUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
464 MARCROM RD, MORRISON, TN 37357-6064
(931) 273-5503
Mailing address
464 MARCROM RD, MORRISON, TN 37357-6064
(931) 273-5503
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
00075884
TN
372600000X
Adult Companion
00075884
TN
373H00000X
Day Training/Habilitation Specialist
00075884
TN
374700000X
Technician
00075884
TN
3747A0650X
Attendant Care Provider
00075884
TN
3747P1801X
Personal Care Attendant
00075884
TN
374U00000X
Home Health Aide
00075884
TN
376J00000X
Homemaker
00075884
TN
376K00000X
Nurse's Aide
Primary
00075884
TN
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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