PRIVATE SENIOR PROVIDERS ETP LLC

MEMPHIS, TN
NPI1568564425
Entity TypeOrganization
Authorized ContactNANCY SHERMAN GILLESPIE
Owner
901-315-8619
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2006-09-02
Last Update Date2007-08-01
Business Address
PRIVATE SENIOR PROVIDERS ETP LLC
234 PANDORA ST CO/BRENDA THOMPSON
MEMPHIS, TN 38117-2855
Phone number: 901-315-8619
Mailing Address
PRIVATE SENIOR PROVIDERS ETP LLC
PO BOX 770193
MEMPHIS, TN 38177-0193
Phone number: 901-315-8619
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