Healthcare Provider Details
I. General information
NPI: 1063972545
Provider Name (Legal Business Name): ALL POINTS VETERANS OUTREACH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/21/2019
Last Update Date: 03/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44 S JEFFERSON ST
WINCHESTER TN
37398-1583
US
IV. Provider business mailing address
44 S JEFFERSON ST
WINCHESTER TN
37398-1583
US
V. Phone/Fax
- Phone: 615-545-1986
- Fax: 615-550-7171
- Phone: 615-545-1986
- Fax: 615-550-7171
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
CATHY
TAYLOR
Title or Position: CHIEF MANAGER
Credential:
Phone: 615-947-6390