| Organization Name: | CDE ONSITE SENIOR SERVICES CORPORATION |
| NPI Number: | 1013113331 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PENNY DIANE DISNEY (COO) |
| Mailing Address: | 13143 El Camino Ln Knoxville |
| State: | TN US |
| Postal Code: | 379323512 |
| Phone Number: | 8652567444 |
| Fax Number: | 8003030672 |
| NPI Enumeration Date: | 06/24/2007 |
| NPI Last Update Date: | 10/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | L000000004354 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |