Organization
TKR RESIDENTIAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI DIANE RICHARDSON (OWNER AND ADMINISTRATOR)
(615) 226-4454
Entity
Organization
Contact information
Practice address
821 SHELBY AVE, NASHVILLE, TN 37206-3733
(615) 226-4454
Mailing address
821 SHELBY AVE, NASHVILLE, TN 37206-3733
(615) 226-4454
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
L000000014512
TN
Other
Enumeration date
06/21/2010
Last updated
04/29/2015
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