Organization
A HEAVENLY SONSHINE SERVICE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL GENTRY (PRESIDENT)
(423) 207-0754
Entity
Organization
Contact information
Practice address
110 OLD GRAY STATION RD, GRAY, TN 37615-3434
(423) 207-0754
(423) 207-0695
Mailing address
110 OLD GRAY STATION RD, GRAY, TN 37615-3434
(423) 207-0754
(423) 207-0695
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000013996
TN
Other
Enumeration date
06/15/2010
Last updated
05/01/2014
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