| NPI | 1356675433 |
|---|---|
| Other Name | MALLORY'S HOME FOR THE AGED |
| Entity Type | Organization |
| Authorized Contact | LACRECIA LASHUN MCGHEE Owner 901-503-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2016-09-02 |