Organization
GRACE GIVERS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI G TIPTON (MEMBER,GRACE GIVERS HOME CARE LLC)
(931) 337-0890
Entity
Organization
Contact information
Practice address
110 RECTOR AVE, CROSSVILLE, TN 38555-4482
(931) 337-0890
Mailing address
3888 PEAVINE RD, CROSSVILLE, TN 38571-7921
(931) 337-0890
(931) 337-0893
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
10/31/2017
Last updated
07/18/2019
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