Organization
HOME CARE SUPPORT PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIEN NIYOGUSHIMA (OWNER)
(412) 260-5655
Entity
Organization
Contact information
Practice address
9111 CROSS PARK DR STE 236, KNOXVILLE, TN 37923-4506
(412) 260-5655
(412) 229-8764
Mailing address
9111 CROSS PARK DR STE 236, KNOXVILLE, TN 37923-4506
(412) 260-5655
(412) 229-8764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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