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Contact Information

AT YOUR RESIDENCE HEALTH CARE SERVICES
1665 BONNIE LN
106
CORDOVA, TN38016-0548
 Phone: 901-800-2770
 Fax: 901-800-2771
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for AT YOUR RESIDENCE HEALTH CARE SERVICES

NPI # 1114302312
LBN Legal business name AT YOUR RESIDENCE HEALTH CARE SERVICES
Authorized official RAVEN MARSHALL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2015
Last updated 07/29/2015 - About 11 years ago
Identifiers
TN License # 16331
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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