NPI 1083284814
Itavia's House of Care LLC
Practice location
- Address
- 10543 Cedar Grove Rd STE 150, Smyrna, TN 37167-6525
- Phone
- (615) 905-6321
Authorised official
- Name
- Alicia Michelle Ellis
- Title
- Owner/Ceo
- Phone
- (615) 905-6321
Registered specialties (2)
In Home Supportive Care Agency
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1083284814
- Entity type
- Organization
- NPI issued
- 24 Jun 2021
- Record last updated
- 10 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.