| Organization Name: | ANDERSON COUNTY PERSONAL SERVICES LLC |
| NPI Number: | 1609178433 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MONUS D BREWER (CEO) |
| Mailing Address: | 358 Indian Hills Circle Suite B Clinton |
| State: | TN US |
| Postal Code: | 377163609 |
| Phone Number: | 8652694943 |
| Fax Number: | 8652694705 |
| NPI Enumeration Date: | 11/30/2010 |
| NPI Last Update Date: | 04/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | I000000007715 |
| 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 |