Organization
GREEN FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSES EDWARD GREEN JR. (FOUNDER)
(615) 649-8288
Entity
Organization
Contact information
Practice address
107 MUSIC CITY CIR STE 116, NASHVILLE, TN 37214-1201
(615) 649-8288
Mailing address
107 MUSIC CITY CIR STE 116, NASHVILLE, TN 37214-1201
(615) 649-8288
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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