Healthcare Provider Details

I. General information

NPI: 1780319970
Provider Name (Legal Business Name): VALENTINE KARES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2022
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 WILDER PL
KNOXVILLE TN
37915-3128
US

IV. Provider business mailing address

1805 WILDER PL
KNOXVILLE TN
37915-3128
US

V. Phone/Fax

Practice location:
  • Phone: 865-240-8540
  • Fax:
Mailing address:
  • Phone: 865-240-8540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VETEMA VALENTINE
Title or Position: NURSE
Credential:
Phone: 865-240-8540