Organization
PRIVATE DUTY HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BUTTS RN (OWNER)
(256) 443-0738
Entity
Organization
Contact information
Practice address
1615 BLUFF CITY HWY STE 102, BRISTOL, TN 37620-6055
(423) 900-7858
Mailing address
1615 BLUFF CITY HWY STE 102, BRISTOL, TN 37620-6055
(423) 900-7858
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
12/15/2025
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