Organization
ISAD
Active
Other names
ISAD
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE BEDIAKO (CEO)
(865) 236-6499
Entity
Organization
Contact information
Practice address
10929 TOPVIEW LN, KNOXVILLE, TN 37934-7081
(865) 973-1312
Mailing address
10929 TOPVIEW LN, KNOXVILLE, TN 37934-7081
(865) 973-1312
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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