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 |