Organization
AGING ASSISTANCE & SUPPORT LLC
Active
Other names
Home Instead
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT R BUNN (GENERAL MANAGER)
(423) 926-4141
Entity
Organization
Contact information
Practice address
1114 SUNSET DR STE 3, JOHNSON CITY, TN 37604-2969
(423) 926-4141
(423) 753-6555
Mailing address
1114 SUNSET DR STE 3, JOHNSON CITY, TN 37604-2969
(423) 926-4141
(423) 753-6555
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000019454
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L000000027508
STATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
TN
Enumeration date
01/12/2017
Last updated
03/05/2021
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