South Central Human Resource Agency
Homemaker in Fayetteville, TN. Organization (NPI-2).
NPI number1013562529
StatusActive
Last updated in NPPESMay 26, 2021
Details
- NPI
- 1013562529
- Entity type
- Organization (NPI-2)
- Legal business name
- South Central Human Resource Agency
- Organization subpart
- No
- Enumeration date
- Aug 2, 2019
- Certification date
- May 26, 2021
- Last updated
- May 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
1437 Winchester HwyFayetteville, TN 37334-2757
Phone 931-433-7182 · Fax 931-438-0074
Mailing address
Po Box 638Fayetteville, TN 37334-0638
Phone 931-433-7182 · Fax 931-438-0074
Authorized official
Paul T Rosson
Executive Director
9314337182
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