Grandkin Caregivers LLC

Organization Active NPI In Home Supportive Care Agency · Gainesboro, TN

NPI 1669023768 · NPPES record last updated Sep 20, 2019

Key facts

NPI
1669023768
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
GRANDKIN CAREGIVERS LLC
Practice address
107 East Gore Avenue
Gainesboro, TN 38562
Phone
(931) 783-3666
NPI assigned
Sep 20, 2019
Organization subpart
No

Authorized official

Name
Matthew Kyle Richardson
Title
Operations Manager
Phone
(931) 783-3666

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

107 East Gore Avenue
Gainesboro, TN 38562

Mailing address

107 East Gore Avenue
Gainesboro, TN 38562

Other providers in Gainesboro, TN

All providers in Gainesboro, TN · In Home Supportive Care Agency in Tennessee

Sources for this page

Verify at the official NPI Registry.