Provider Demographics
NPI:1639506058
Name:K & W SENIOR ALLIANCE LLC
Entity Type:Organization
Organization Name:K & W SENIOR ALLIANCE LLC
Other - Org Name:RIGHT AT HOME OF MIDDLE TENNESSEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-809-2283
Mailing Address - Street 1:519 UPTOWN SQ
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0589
Mailing Address - Country:US
Mailing Address - Phone:615-809-2283
Mailing Address - Fax:615-962-7941
Practice Address - Street 1:519 UPTOWN SQ
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0589
Practice Address - Country:US
Practice Address - Phone:615-809-2283
Practice Address - Fax:615-962-7941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000015030253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care