Organization Name: | SILVER ANGELS OF TENNESSEE - SUMNER, LLC |
NPI Number: | 1861751018 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN HARRISON (CFO) |
Mailing Address: | 1104 New Highway 52 E Ste D Westmoreland |
State: | TN US |
Postal Code: | 371865032 |
Phone Number: | 6156447500 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2012 |
NPI Last Update Date: | 10/24/2012 |
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 |