Pure Divine Independent Care LLC
In Home Supportive Care in Clarksville, TN. Organization (NPI-2).
NPI number1124881966
StatusActive
Last updated in NPPESAug 29, 2024
Details
- NPI
- 1124881966
- Entity type
- Organization (NPI-2)
- Legal business name
- Pure Divine Independent Care LLC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2024
- Certification date
- Aug 29, 2024
- Last updated
- Aug 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
1860 Wilma Rudolph Blvd # 126pClarksville, TN 37040-6750
Phone 931-367-4430
Mailing address
1960 Madison St Ste J178Clarksville, TN 37043-8063
Phone 615-346-5558
Authorized official
Tiffany Green
Chief Executive Officer
9313674430
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All 31 In Home Supportive Care Agency providers in Clarksville · All 4,403 providers in Clarksville
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