Organization Name: | AT YOUR RESIDENCE HEALTH CARE SERVICES |
NPI Number: | 1114302312 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAVEN MARSHALL (OWNER) |
Mailing Address: | 1665 Bonnie Ln 106 Cordova |
State: | TN US |
Postal Code: | 380160548 |
Phone Number: | 9018002770 |
Fax Number: | 9018002771 |
NPI Enumeration Date: | 07/29/2015 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 16331 |
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 |