Organization
XODUS PROVIDER SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOSHEIDRU R YANCY (CEO/PRESIDENT)
(615) 596-4034
Entity
Organization
Contact information
Practice address
8 N HILL ST, NASHVILLE, TN 37210-3462
(615) 596-4034
Mailing address
8 N HILL ST, NASHVILLE, TN 37210-3462
(615) 596-4034
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HOMECARE
HOME CARE
TN
Enumeration date
02/07/2022
Last updated
02/07/2022
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