Organization Name: | KEITHCARE INC |
NPI Number: | 1730485913 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY MULLIN (PERSONNEL MANAGER) |
Mailing Address: | 8305 Dayton Pike Ste C Soddy Daisy |
State: | TN US |
Postal Code: | 373794202 |
Phone Number: | 4235088006 |
Fax Number: | 4235088007 |
NPI Enumeration Date: | 02/04/2011 |
NPI Last Update Date: | 02/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | L000000006479 |
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 |