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Organization

KIWI HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HILDA CUBBERLEY VAUGHAN (OWNER)
(931) 636-8836
Entity
Organization

Contact information

Practice address
101 COUNTRY DR, COWAN, TN 37318-3502
(931) 636-8836
Mailing address
PO BOX 674, SEWANEE, TN 37375-0674
(931) 636-8836

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000005498
TN

Other

Enumeration date
10/27/2009
Last updated
10/27/2009
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