Organization Name: | IN-HOME CARE OF COOKEVILLE, LLC |
NPI Number: | 1346656402 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY YOUNG (GENERAL MANAGER) |
Mailing Address: | 605 N Willow Ave Suite B Cookeville |
State: | TN US |
Postal Code: | 385011717 |
Phone Number: | 9313030411 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2014 |
NPI Last Update Date: | 11/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |