Organization
365 IN HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHARLOTTE Y PEACOCK (DIRECTOR)
(615) 838-3672
Entity
Organization
Contact information
Practice address
1633 AARONWOOD DR, OLD HICKORY, TN 37138-4236
(615) 838-3672
(615) 847-4613
Mailing address
1633 AARONWOOD DR, OLD HICKORY, TN 37138-4236
(615) 838-3672
(615) 847-4613
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
I000000018965
TN
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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