| NPI | 1801526488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRIPHINE SHAW Administrative Director 901-409-5093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 310400000X Assisted Living Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2023-09-27 |