Individual
RAYMOND BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 WARDLEY RD, KNOXVILLE, TN 37934-1829
(865) 269-4483
(865) 288-7974
Mailing address
304 WARDLEY RD, KNOXVILLE, TN 37934-1829
(865) 269-4483
(865) 288-7974
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
I000000019088
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I000000019088
NON-MEDICAL IN HOME CARE AGENCY
TN
Enumeration date
12/23/2016
Last updated
12/23/2016
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