Organization
TENNESSEE PERSONAL ASSISTANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SWEDEN KWENDA (CFO)
(615) 331-6200
Entity
Organization
Contact information
Practice address
31B BOWLING DR, JACKSON, TN 38305-6100
(731) 660-6493
Mailing address
475 METROPLEX DR, SUITE 106, NASHVILLE, TN 37211-3153
(615) 331-6200
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
L000000009118
TN
251J00000X
Nursing Care Agency
PSS0000000278
TN
253Z00000X
In Home Supportive Care Agency
Primary
L000000009118
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
L000000009118
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E02
—
TN
Enumeration date
12/16/2011
Last updated
12/16/2011
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