Individual
MRS. CLAIRE CHIOMA EMESIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4008 SHADOWBROOK TRL, ANTIOCH, TN 37013-7315
(615) 578-2151
(615) 641-7664
Mailing address
4008 SHADOWBROOK TRL, ANTIOCH, TN 37013-7315
(615) 578-2151
(615) 641-7664
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10000000008045
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000000008045
PERSONAL SUPPORT SERVICES AGENCY
TN
Enumeration date
02/21/2011
Last updated
02/21/2011
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