| Organization Name: | CLARA BUTLER NURSING AND PERSONAL CARE SERVICE INC. FOR AGING AND DISA |
| NPI Number: | 1326318460 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLARA BUTLER (EXECUTIVE DIRECTOR/OWNER) |
| Mailing Address: | 2854 Stage Center Dr Bartlett |
| State: | TN US |
| Postal Code: | 381344200 |
| Phone Number: | 9013143112 |
| Fax Number: | 9012662435 |
| NPI Enumeration Date: | 01/06/2012 |
| NPI Last Update Date: | 01/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | S7894 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |