Organization
AIDESIDE HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEELIN JAFARI BROWN (CEO)
(865) 419-0047
Entity
Organization
Contact information
Practice address
705 GATE LN STE 202, KNOXVILLE, TN 37909-3521
(865) 294-0059
(865) 315-7021
Mailing address
705 GATE LN STE 202, KNOXVILLE, TN 37909-3521
(865) 419-0047
(865) 315-7021
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851859441
SUPPORTIVE SERVICES
TN
Enumeration date
03/04/2019
Last updated
03/16/2019
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