NPI 1285108654

Great Personal Care Service

Organisation PACE Provider Organization Chattanooga, TN

Practice location

Address: 2412 E 12th St, Chattanooga, TN 37404-4601
Phone: (423) 269-8856

Authorised official

Name: Kimberly Porter
Title: Authorized Official
Phone: (478) 737-9211

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Tennessee →

Registry record

NPI: 1285108654
Entity type: Organization
NPI issued: 17 Jan 2019
Record last updated: 19 Dec 2024

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.